Abc Psychiatric Consultant LLC

Key facts

NPI: 1114256641
Entity type: Organization (NPI type 2)
Primary specialty: Adult Mental Health Clinic/Center 261QM0850X
License: 25 MA07175700 (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
Organization subpart: No

Authorized official

Name: Dr. Qinyue Liu, MD NPI 1083753669
Title: Physician
Phone: (908) 222-1532

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Qinyue Liu, MD Psychiatry Physician · Warren, NJ · NPI 1083753669

Medicare reassignment NPD Authorized official NJ
Daniel Bascara, M.D. Child & Adolescent Psychiatry Physician · Hoboken, NJ · NPI 1154488237

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20091211000215	NJ	Part B Supplier - Clinic/Group Practice	3173663853	Receives reassigned benefits from 1 practitioner Practice locations: Warren, NJ

National Provider Directory

Locations

31 Mountain Blvd
#31W
Warren, NJ 07059
Phone (908) 222-1532

31 Mountain Blvd
Ste 31W
Warren, NJ 07059
Phone (908) 222-1532

27 Mountain Blvd
Ste 3
Warren, NJ 07059
Phone (732) 507-2365

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Mental Health Clinic/Center	261QM0850X	25 MA07175700	NJ	Yes

Addresses

Primary practice location

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

Mailing address

115 Parlin LN
Watchung, NJ 07069-5400
Phone (908) 222-1532

Other providers in Warren, NJ

All providers in Warren, NJ · Adult Mental Health Clinic/Center in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.