Organization Active NPI

Psychiatric Family Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1992434740
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCHIATRIC FAMILY CARE LLC
Practice address
17-10 River Rd Ste 2C
Fair Lawn, NJ 07410-1250
Phone
(551) 804-0885
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Ms. Zhanna Berman, APNNPI 1184071318
Title
Authorized Member
Phone
(551) 804-0885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

17-10 River Rd Ste 2C
Fair Lawn, NJ 07410-1250

Mailing address

17-10 River Rd Ste 2C
Fair Lawn, NJ 07410-1250
Phone (551) 804-0885

National Provider Directory

National Provider Directory

Locations

17-10 River Rd
Ste 2C
Fair Lawn, NJ 07410
Phone (551) 804-0885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1992434740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD STE 2C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101250",
            "telephone_number": "551-804-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD STE 2C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101250",
            "telephone_number": "551-804-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "551-804-0885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.