| Hamilton Behavioral Health | |
|
79 Ogle Rd Old Tappan NJ 07675-7026 | |
| (201) 490-5158 | |
| (848) 667-8981 |
| Full Name | Hamilton Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 79 Ogle Rd, Old Tappan, New Jersey |
| Authorized Official Name and Position | Yasir J Ahmad (OWNER) |
| Authorized Official Contact | 2017671013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Behavioral Health 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (302) 526-4547 | Hamilton Behavioral Health 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (201) 490-5158 |
| NPI Number | 1720745060 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 09/15/2022 |
| Certification Date | 08/02/2022 |
| Medicare PECOS PAC ID | 2365975505 |
|---|---|
| Medicare Enrollment ID | O20241028001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720745060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yasir J Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275570509 PECOS PAC ID: 0547224875 Enrollment ID: I20041117000052 |
| Provider Name | Valsamma P Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871815241 PECOS PAC ID: 4789816810 Enrollment ID: I20140403002060 |
| Provider Name | Prathila Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235397373 PECOS PAC ID: 7214161611 Enrollment ID: I20150115002012 |
| Provider Name | Thomas Crangle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134465370 PECOS PAC ID: 1254638539 Enrollment ID: I20160331001829 |
| Provider Name | Intisar Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335191 PECOS PAC ID: 3072890086 Enrollment ID: I20170522002830 |
| Provider Name | Shahan Sibtain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932562345 PECOS PAC ID: 7911336987 Enrollment ID: I20200327000020 |
| Provider Name | Naheed Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932389806 PECOS PAC ID: 0648457820 Enrollment ID: I20241101000261 |
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