Princeton Health Psychiatric, LLC

Key facts

NPI

1376780940

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatry Physician 2084P0800X

License

25MA080373700 (NJ)

Legal business name

PRINCETON HEALTH PSYCHIATRIC, LLC

Practice address

800 Bunn Dr Ste 304
Princeton, NJ 08540-1968

Phone

(609) 651-4429

Fax

(609) 228-5959

NPI assigned

Jan 19, 2009

Organization subpart

No

Authorized official

Name

Dr. Steven Paul Levine, M.D.

Title

Owner

Phone

(609) 651-4429

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2018.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1376780940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR STE 304",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-651-4429",
            "fax_number": "609-228-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR STE 304",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-651-4429",
            "fax_number": "609-228-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTH PSYCHIATRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-651-4429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA080373700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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