Psychiatric Associates LLP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHIATRIC ASSOCIATES LLP

Practice address

140 Prospect Ave
Suite 4
Hackensack, NJ 07601

Phone

(201) 488-6543

Fax

(201) 488-6916

NPI assigned

Aug 10, 2006

Last updated

Oct 26, 2007By 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

Christina B Bavaro

Title

Billing Manager

Phone

(201) 488-6543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 9

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.

• Joseph F Acquaviva, M.D.

  • Psychiatry Physician
  • Hackensack, NJ
  • NPI 1912054420
  Medicare reassignment NPD
• Valeria Korshunova, MD

  • Child & Adolescent Psychiatry Physician
  • Hackensack, NJ
  • NPI 1407904253
  Medicare reassignment NPD
• Melissa Patrice Adessa, LCSW

  • Clinical Social Worker
  • Rochelle Park, NJ
  • NPI 1568519056
  NPD (past)
• Mark James Flood, M.D.

  • Psychiatry Physician
  • Hackensack, NJ
  • NPI 1376729046
  NPD (past)
• Stacey Marie Kirchner Glanz, MSW LCSW

  • Clinical Social Worker
  • Rochelle Park, NJ
  • NPI 1134154503
  NPD (past)
• Mary Beth Kneis, MSW

  • Mental Health Counselor
  • Sparta, NJ
  • NPI 1982722591
  NPD (past)
• Maria Connie Malgieri, MSW, LCSW

  • Specialist
  • Hackensack, NJ
  • NPI 1356468177
  NPD (past)
• Michael Christopher Molloy, MSW, LCSW

  • Clinical Social Worker
  • Wallington, NJ
  • NPI 1992869697
  NPD (past)
• Matthew J Pitera, M.D.

  • Psychiatry Physician
  • Toms River, NJ
  • NPI 1225097702
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1922019694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-6543",
            "fax_number": "201-488-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-488-6543",
            "fax_number": "201-488-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "BAVARO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-488-6543"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Women's Health Center, LLC
• Prospect Women's Medical Center
• Prospect Women's Medical Group, P.C.
• Tracy Ann Proverbs-Singh, M.D.
• Aleksandar Prvulovic
• Maksim Ptushko, M.D.
• Ajay Kumar Puri, MD
• Matthew Putts, PHD, LPC, LRC
• John Bruce Puzio, PT, DPT
• PVP Pharmacy LLC (Pharmacy Central)

• Psychiatry Physician in Hackensack, NJ
• Providers in Hackensack, 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 Oct 26, 2007; 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.