NPIMap

Organization Active NPI

Immediate Care Psychiatric Center

  • Psychiatry Physician
  • Parsippany, NJ
National Provider Identifier
1124072632
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
IMMEDIATE CARE PSYCHIATRIC CENTER
Practice address
28 Hill Rd
Suite a
Parsippany, NJ 07054-1001
Phone
(973) 335-9909
Fax
(973) 335-9910
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Srinivasa K Rao, MD
Title
Director of Icpc
Phone
(973) 335-9909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NJ
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X NJ
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NJ Primary

Addresses

Primary practice location

28 Hill Rd
Suite a
Parsippany, NJ 07054-1001

Mailing address

28 Hill Rd
Suite a
Parsippany, NJ 07054-1001
Phone (973) 335-9909

Other names 1

  • Immediate Care Psychiatric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001436 NJ Part B Supplier - Clinic/Group Practice 0042206757 Receives reassigned benefits from 13 practitioners
Practice locations: Paramus, NJ; Parsippany, NJ

National Provider Directory

National Provider Directory
Tax ID family
Immediate Care Psych Ctr6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 Robin Rd
Paramus, NJ 07652
Phone (201) 225-1511

205 Robin Rd
Ste 115
Paramus, NJ 07652
Phone (201) 984-9373

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1124072632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HILL RD",
            "address_2": "SUITE A",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541001",
            "telephone_number": "973-335-9909",
            "fax_number": "973-335-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HILL RD",
            "address_2": "SUITE A",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541001",
            "telephone_number": "973-335-9909",
            "fax_number": "973-335-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE CARE PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF ICPC",
        "authorized_official_telephone_number": "973-335-9909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Care Psychiatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.