| Summit Psychotherapy And Wellness Center Llc | |
|
6 E Main St Ramsey NJ 07446-1944 | |
| (201) 954-0228 | |
| Not Available |
| Full Name | Summit Psychotherapy And Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 E Main St, Ramsey, New Jersey |
| Authorized Official Name and Position | Shaun P Demauro (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2019540228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Psychotherapy And Wellness Center Llc 6 E Main St Ramsey NJ 07446-1944 Ph: (201) 954-0228 | Summit Psychotherapy And Wellness Center Llc 6 E Main St Ramsey NJ 07446-1944 Ph: (201) 954-0228 |
| NPI Number | 1649831538 |
|---|---|
| Provider Enumeration Date | 06/22/2019 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 9335477520 |
|---|---|
| Medicare Enrollment ID | O20190827000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649831538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shaun P Demauro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285186130 PECOS PAC ID: 7416285606 Enrollment ID: I20190827000252 |
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