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UNION CHILD & ADOLESCENT PSYCHIATRY CENTER LLC NPI 1245609932


NPI Information

NPI: 1245609932
Provider Name: UNION CHILD & ADOLESCENT PSYCHIATRY CENTER LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
33 UPPER OVERLOOK ROAD
210
SUMMIT, NJ
ZIP 07910
Phone: (908) 598-0390
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UNION CHILD & ADOLESCENT PSYCHIATRY CENTER LLC is an adolescent and children mental health clinic center in Summit, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. UNION CHILD & ADOLESCENT PSYCHIATRY CENTER LLC NPI is 1245609932. The provider is registered as an organization entity type.

The provider's business location address is:

33 UPPER OVERLOOK ROAD
210
SUMMIT, NJ
ZIP 07910
Phone: (908) 598-0390

The provider's authorized official is Indira Shah .
The authorized official title is Md and has the following contact phone number (917) 678-6319.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 11/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental Health25MA08626200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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