Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1376744391
Psychiatric/Mental Health Nurse Practitioner
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Provider Addresses for Unknown Individual
395, Main Street, Hackensack, Bergen County, New Jersey, 07601, United States
HACKENSACK, NJ 076015806
Phone: (201) 646-0333
Fax: (201) 646-0283
Type: Location
1, King Road, Park Ridge, Bergen County, New Jersey, 07656, United States
PARK RIDGE, NJ 076562213
Phone: (201) 573-8181
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 27 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NJ | |
| - | NY | |
| Mental Health Counselor | NJ | |
| Nurse Practitioner | NJ | |
| Mental Health Counselor | NJ | |
| - | NJ | |
| P S Y C H I A T R Y | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Clinical Social Worker | NJ |
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