CHATHAM PSYCHIATRIC GROUP P.A. NPI 1780726638

NPI Information

NPI: 1780726638
Provider Name: CHATHAM PSYCHIATRIC GROUP, P.A.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
9 TULIP ST
SUMMIT, NJ
ZIP 07901
Phone: (908) 277-7676
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CHATHAM PSYCHIATRIC GROUP, P.A. is a mental health counselor in Summit, NJ. CHATHAM PSYCHIATRIC GROUP, P.A. NPI is 1780726638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 TULIP ST
SUMMIT, NJ
ZIP 07901-404
Phone: (908) 277-7676
Fax: (908) 277-4900

The provider's authorized official is Arie Johan Noordsij .
The authorized official title is President and has the following contact phone number (908) 277-7676.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 6/26/2008.

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
1	101YM0800X	Counselor	Mental Health	25MA1777900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NO520983	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE PROVIDER NUMBER
2	3876004	MEDICAID	NEW JERSEY
3	C56817	MEDICARE UPIN	NEW JERSEY

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

NPI Synchronization or Removal

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