| Family Psychiatry And Therapy | |
|
17 Arcadian Way Suite 108 Paramus NJ 07652-1245 | |
| (201) 316-5581 | |
| Not Available |
| Full Name | Family Psychiatry And Therapy |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17 Arcadian Way, Paramus, New Jersey |
| Authorized Official Name and Position | Michael Epstein (COO) |
| Authorized Official Contact | 2013165581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychiatry And Therapy 17 Arcadian Way Suite 108 Paramus NJ 07652-1245 Ph: (201) 316-5581 | Family Psychiatry And Therapy 17 Arcadian Way Suite 108 Paramus NJ 07652-1245 Ph: (201) 316-5581 |
| NPI Number | 1902261530 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 07/04/2016 |
| Medicare PECOS PAC ID | 8224465927 |
|---|---|
| Medicare Enrollment ID | O20200218002807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902261530 | NPI | - | NPPES |
| 1477581957 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MA07400600 (New Jersey) | Primary |
| Provider Name | Mona S. Ismail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053355834 PECOS PAC ID: 5294778593 Enrollment ID: I20060330000621 |
| Provider Name | Helene Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477581957 PECOS PAC ID: 4082613062 Enrollment ID: I20061221000110 |
| Provider Name | Triesha Gayle-lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699916734 PECOS PAC ID: 1355490863 Enrollment ID: I20151104001953 |
| Provider Name | Wendy Alyssa Yecies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225204100 PECOS PAC ID: 1355754292 Enrollment ID: I20210113001900 |
| Provider Name | Benjamin Latner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356802219 PECOS PAC ID: 4082948278 Enrollment ID: I20220407002340 |
| Provider Name | Rosamaria Gomes Verdadeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376102699 PECOS PAC ID: 8527444678 Enrollment ID: I20220928000035 |
| Provider Name | Christopher Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457991986 PECOS PAC ID: 0749666253 Enrollment ID: I20221007000040 |
| Provider Name | Amanda H Wisolmerski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023766672 PECOS PAC ID: 2567838485 Enrollment ID: I20221018002604 |
| Provider Name | Peter Ryan Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114698362 PECOS PAC ID: 0547632523 Enrollment ID: I20230221002518 |
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