| Crossroads Psychological Services | |
|
28 Greenview Dr Pequannock NJ 07440-1714 | |
| (201) 787-5124 | |
| Not Available |
| Full Name | Crossroads Psychological Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 28 Greenview Dr, Pequannock, New Jersey |
| Authorized Official Name and Position | Nancy Gitin (OWNER) |
| Authorized Official Contact | 2017875124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Psychological Services 28 Greenview Dr Pequannock NJ 07440-1714 Ph: (201) 787-5124 | Crossroads Psychological Services 28 Greenview Dr Pequannock NJ 07440-1714 Ph: (201) 787-5124 |
| NPI Number | 1396334892 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396334892 | NPI | - | NPPES |
| 1497845655 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
The Parent Train Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Newark Pompton Tpke, Pequannock, NJ 07440 Phone: 973-588-4486 Fax: 973-832-7478 |