| Immediate Care Psychiatric Center | |
|
28 Hill Rd Suite A Parsippany NJ 07054-1001 | |
| (973) 335-9909 | |
| (973) 335-9910 |
| Full Name | Immediate Care Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28 Hill Rd, Parsippany, New Jersey |
| Authorized Official Name and Position | Srinivasa K Rao (DIRECTOR OF ICPC) |
| Authorized Official Contact | 9733359909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Psychiatric Center 28 Hill Rd Suite A Parsippany NJ 07054-1001 Ph: (973) 335-9909 | Immediate Care Psychiatric Center 28 Hill Rd Suite A Parsippany NJ 07054-1001 Ph: (973) 335-9909 |
| NPI Number | 1124072632 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 0042206757 |
|---|---|
| Medicare Enrollment ID | O20040420001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124072632 | NPI | - | NPPES |
| Provider Name | Ramakrishna Gudapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275589202 PECOS PAC ID: 1052380920 Enrollment ID: I20040928000358 |
| Provider Name | Shankar Srinivasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093855728 PECOS PAC ID: 1456447879 Enrollment ID: I20071017000374 |
| Provider Name | Sarah A Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508001173 PECOS PAC ID: 0941475842 Enrollment ID: I20111205000301 |
| Provider Name | Andrea Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457330417 PECOS PAC ID: 9335134535 Enrollment ID: I20120601000040 |
| Provider Name | Susan E Frantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194857508 PECOS PAC ID: 4981919750 Enrollment ID: I20150824000858 |
| Provider Name | Mehtab A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154414431 PECOS PAC ID: 9234260480 Enrollment ID: I20150928001661 |
| Provider Name | Kathleen F Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982989448 PECOS PAC ID: 3072881168 Enrollment ID: I20170614000074 |
| Provider Name | Jason M Carness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184068223 PECOS PAC ID: 9537434345 Enrollment ID: I20171004002300 |
| Provider Name | Emily Ann Novik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629411947 PECOS PAC ID: 0446554398 Enrollment ID: I20171116000350 |
| Provider Name | Joseph Zemzicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578042263 PECOS PAC ID: 5193064749 Enrollment ID: I20190227000491 |
| Provider Name | Lisa M Guillod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043782469 PECOS PAC ID: 6103165550 Enrollment ID: I20190228002260 |
| Provider Name | Steven W Rego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376867259 PECOS PAC ID: 4688981947 Enrollment ID: I20201130002140 |
| Provider Name | Amanda D Moroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832520 PECOS PAC ID: 1254749484 Enrollment ID: I20210428000061 |
| Provider Name | Rafael Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930368 PECOS PAC ID: 3375952054 Enrollment ID: I20210510001605 |
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