Abc Psychiatric Consultant LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

25 MA07175700 Issued in NJ

Legal business name

ABC PSYCHIATRIC CONSULTANT LLC

Practice address

31 Mountain Blvd
Suite 31W
Warren, NJ 07059-5644

Phone

(908) 769-8582

Fax

(908) 222-1780

NPI assigned

Dec 11, 2009

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Qinyue Liu, MDNPI 1083753669

Title

Physician

Phone

(908) 222-1532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qinyue Liu, MD

  • Psychiatry Physician
  • Warren, NJ
  • NPI 1083753669
  Medicare reassignment NPD Authorized official
• Daniel Bascara, M.D.

  • Child & Adolescent Psychiatry Physician
  • Hoboken, NJ
  • NPI 1154488237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1114256641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARLIN LN",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695400",
            "telephone_number": "908-222-1532",
            "fax_number": "908-222-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD",
            "address_2": "SUITE 31W",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595644",
            "telephone_number": "908-769-8582",
            "fax_number": "908-222-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PSYCHIATRIC CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "QINYUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-222-1532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "25 MA07175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham D Morganoff MD PA
• Daniel Abraham, M.D.
• Vinod J Abraham, MD
• Advantage Medical Supply
• African Caregivers LLC

• Adult Mental Health Clinic/Center in Warren, NJ
• Providers in Warren, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.