| Mental Health Clinic Of Passaic Inc | |
|
1451 Van Houten Ave Clifton NJ 07013-2432 | |
| (973) 473-2775 | |
| (973) 473-3625 |
| Full Name | Mental Health Clinic Of Passaic Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1451 Van Houten Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Sybil Schreiber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9734732775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Clinic Of Passaic Inc 1451 Van Houten Ave Clifton NJ 07013-2432 Ph: (973) 473-2775 | Mental Health Clinic Of Passaic Inc 1451 Van Houten Ave Clifton NJ 07013-2432 Ph: (973) 473-2775 |
| NPI Number | 1619009701 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 04/20/2018 |
| Medicare PECOS PAC ID | 6901064617 |
|---|---|
| Medicare Enrollment ID | O20120228000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009701 | NPI | - | NPPES |
| 0089559 | Medicaid | NJ | |
| 0021181 | Medicaid | NJ | |
| 0014508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 304050204 (New Jersey) | Primary |
| Provider Name | Janet Amaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568416477 PECOS PAC ID: 5294787263 Enrollment ID: I20050217000718 |
| Provider Name | Nora R Mangunay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427094309 PECOS PAC ID: 4385655133 Enrollment ID: I20060509000265 |
| Provider Name | Joy G Robertson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528135258 PECOS PAC ID: 3173706165 Enrollment ID: I20110329000771 |
| Provider Name | Ravinder Bhalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841214566 PECOS PAC ID: 4486832615 Enrollment ID: I20110616000832 |
| Provider Name | Lissa Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740642503 PECOS PAC ID: 9234429978 Enrollment ID: I20160608000971 |
| Provider Name | Pamela Yvette Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831312065 PECOS PAC ID: 2961792312 Enrollment ID: I20200218000035 |
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