| Integrated Psychiatric Services Llc | |
|
615 Hope Rd Ste 5b Eatontown NJ 07724-1273 | |
| (732) 858-5432 | |
| Not Available |
| Full Name | Integrated Psychiatric Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 615 Hope Rd Ste 5b, Eatontown, New Jersey |
| Authorized Official Name and Position | Jessica Pogran (MANAGING MEMBER) |
| Authorized Official Contact | 7328585432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychiatric Services Llc 615 Hope Rd Ste 5b Eatontown NJ 07724-1273 Ph: (732) 858-5432 | Integrated Psychiatric Services Llc 615 Hope Rd Ste 5b Eatontown NJ 07724-1273 Ph: (732) 858-5432 |
| NPI Number | 1093496861 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 1456878636 |
|---|---|
| Medicare Enrollment ID | O20250512000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093496861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica R Pogran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760794010 PECOS PAC ID: 5193006880 Enrollment ID: I20170112000680 |
| Provider Name | Lisa M Sayar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184111353 PECOS PAC ID: 4587911722 Enrollment ID: I20180719001820 |
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