| Tmr Mental Health Care Pc | |
|
861 Main St Ste 1 Hackensack NJ 07601-4907 | |
| (551) 404-9677 | |
| (800) 322-3738 |
| Full Name | Tmr Mental Health Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 861 Main St Ste 1, Hackensack, New Jersey |
| Authorized Official Name and Position | Tasia Milicevic (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2015285757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmr Mental Health Care Pc Po Box 924 Maywood NJ 07607-0924 Ph: (201) 528-5757 | Tmr Mental Health Care Pc 861 Main St Ste 1 Hackensack NJ 07601-4907 Ph: (551) 404-9677 |
| NPI Number | 1982238184 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/23/2022 |
| Medicare PECOS PAC ID | 7113371154 |
|---|---|
| Medicare Enrollment ID | O20230926000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982238184 | NPI | - | NPPES |
| Provider Name | Tasia Milicevic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447504931 PECOS PAC ID: 7416385927 Enrollment ID: I20200218001223 |
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