| Mental Clarity Outpatient Services Llc | |
|
25 Pompton Ave Verona NJ 07044-2941 | |
| (973) 975-4111 | |
| (602) 960-0476 |
| Full Name | Mental Clarity Outpatient Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 25 Pompton Ave, Verona, New Jersey |
| Authorized Official Name and Position | Syndie Volcy (PMHNP-BC) |
| Authorized Official Contact | 9739754111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Clarity Outpatient Services Llc 25 Pompton Ave Verona NJ 07044-2941 Ph: (973) 975-4111 | Mental Clarity Outpatient Services Llc 25 Pompton Ave Verona NJ 07044-2941 Ph: (973) 975-4111 |
| NPI Number | 1205608130 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 2466805627 |
|---|---|
| Medicare Enrollment ID | O20240124003218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205608130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Syndie Volcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730751413 PECOS PAC ID: 8224422001 Enrollment ID: I20220221000535 |
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