Organization Active NPI

Mental Health Care P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Englewood Cliffs, NJ
National Provider Identifier
1457500324
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
25MA07413800 Issued in NJ
Legal business name
MENTAL HEALTH CARE P.C.
Practice address
333 Sylvan Ave
Suite111
Englewood Cliffs, NJ 07632-2724
Phone
(201) 568-8500
Fax
(201) 568-8518
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Irina Surbnshanyan, M.D.
Title
Psychiatrist
Phone
(201) 568-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 25MA07413800 NJ Primary

Addresses

Primary practice location

333 Sylvan Ave
Suite111
Englewood Cliffs, NJ 07632-2724

Mailing address

333 Sylvan Ave
Suite111
Englewood Cliffs, NJ 07632-2724
Phone (201) 568-8500

Other names 1

  • mental health care P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

333 Sylvan Ave
Ste 112
Englewood Cliffs, NJ 07632
Phone (201) 569-6003

333 Sylvan Ave
Ste 111
Englewood Cliffs, NJ 07632
Phone (201) 541-7001

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1457500324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "SUITE111",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-568-8500",
            "fax_number": "201-568-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "SUITE111",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-568-8500",
            "fax_number": "201-568-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SURBNSHANYAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "201-568-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "25MA07413800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mental health care P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.