Sussex County Psychiatric, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA6728800 Issued in NJ

Legal business name

SUSSEX COUNTY PSYCHIATRIC, INC

Practice address

185 State Route 183
Stanhope, NJ 07874-1212

Phone

(973) 426-1640

Fax

(973) 426-1641

NPI assigned

Dec 27, 2006

Last updated

Jan 13, 2009By 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

Cheryl Lutz

Title

Owner, President

Phone

(973) 426-1640

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Sussex County Psychiatric Associates Other name

Locations

Practitioners 1

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.

• Virginia J. Brady, PH.D

  • Clinical Psychologist
  • Denton, TX
  • NPI 1952448086
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1962567925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STATE ROUTE 183",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078741212",
            "telephone_number": "973-426-1640",
            "fax_number": "973-426-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STATE ROUTE 183",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078741212",
            "telephone_number": "973-426-1640",
            "fax_number": "973-426-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX COUNTY PSYCHIATRIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "973-426-1640"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35SI00378800",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35SI00320600",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05174300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA6728800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8699003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sussex County Psychiatric Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Stanhope, NJ
• Providers in Stanhope, 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 Jan 13, 2009; 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.