Astral Psychiatry LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ASTRAL PSYCHIATRY LLC

Practice address

26 High St
Jersey City, NJ 07306-1914

Phone

(949) 207-9995

NPI assigned

Aug 17, 2024

Organization subpart

No

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

Authorized official

Name

Ziheng Song

Title

Director

Phone

(949) 207-9995

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1710719794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST UNIT 180",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765743642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061914",
            "telephone_number": "949-207-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRAL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ZIHENG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-207-9995"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.