Psychiatric Care Professional Association

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07675700 Issued in NJ

Legal business name

PSYCHIATRIC CARE PROFESSIONAL ASSOCIATION

Practice address

99 Ivy LN
Tenafly, NJ 07670-2409

Phone

(201) 970-4300

Fax

(800) 352-3015

NPI assigned

Jan 12, 2011

Last updated

May 2, 2023By 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

Wei Wang, M.D.NPI 1902813876

Title

Medical Director

Phone

(917) 682-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Wei Wang, M.D.

  • Psychiatry Physician
  • Tenafly, NJ
  • NPI 1902813876
  Medicare reassignment Authorized official
• Danielle Leoncini, MS, LPC, CCMHC, NCC

  • Professional Counselor
  • Rochelle Park, NJ
  • NPI 1770042871
  NPD (past)
• Kelly Nussbaum, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Englewood, NJ
  • NPI 1215229596
  NPD (past)

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1669777280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 IVY LN",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702409",
            "telephone_number": "917-682-4300",
            "fax_number": "800-352-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 IVY LN",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702409",
            "telephone_number": "201-970-4300",
            "fax_number": "800-352-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CARE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-682-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07675700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Porchiazzo, OTR/L
• Precision Pain and Vascular LLC (NovaGen Interventional)
• Pretty Feet Podiatry Corp
• PS Medical LLC
• PS Medical PLLC
• Gail Quackenbush, M.D.
• Kyla Isabelle M Quintos
• Jackeline Quiroz
• R del Priore DDS PA
• Netta Raz Shachar

• Psychiatry Physician in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.