| Mental Health Specialty Group Nj, Pc | |
|
830 Morris Tpke Short Hills NJ 07078-2625 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Mental Health Specialty Group Nj, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 830 Morris Tpke, Short Hills, New Jersey |
| Authorized Official Name and Position | Gabriel Diop (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialty Group Nj, Pc Po Box 745250 Atlanta GA 30374-5250 Ph: (323) 205-7088 | Mental Health Specialty Group Nj, Pc 830 Morris Tpke Short Hills NJ 07078-2625 Ph: (323) 205-7088 |
| NPI Number | 1548928450 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8224559174 |
|---|---|
| Medicare Enrollment ID | O20250307000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548928450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Antoniette E Richburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124522412 PECOS PAC ID: 1456614544 Enrollment ID: I20180425000796 |
| Provider Name | Beata Reshetar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386065266 PECOS PAC ID: 5193062909 Enrollment ID: I20190131001620 |
| Provider Name | Doris Chukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631217 PECOS PAC ID: 1254720352 Enrollment ID: I20211111000239 |
| Provider Name | Matthew Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538834858 PECOS PAC ID: 8325438914 Enrollment ID: I20211214003065 |
| Provider Name | Oladunni Liyele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225704109 PECOS PAC ID: 0749673259 Enrollment ID: I20220204001860 |
| Provider Name | Mojisola Dabney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326736620 PECOS PAC ID: 9234307752 Enrollment ID: I20230601001038 |
| Provider Name | Michael Deji Sanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194462648 PECOS PAC ID: 5092176354 Enrollment ID: I20230802002908 |
| Provider Name | Heidi Denise Cosmi-godau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851173280 PECOS PAC ID: 8820535446 Enrollment ID: I20240731004545 |
| Provider Name | Charlotte March |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790513075 PECOS PAC ID: 0749713352 Enrollment ID: I20241104001614 |
| Provider Name | Rashidah Jenious |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477207306 PECOS PAC ID: 9032649827 Enrollment ID: I20250210000427 |
| Provider Name | Sehnaz Zor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720347602 PECOS PAC ID: 8921529645 Enrollment ID: I20250310002931 |
| Provider Name | Sharon Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871925545 PECOS PAC ID: 5890924708 Enrollment ID: I20250328001282 |
| Provider Name | Danielle Marie Dunne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396109617 PECOS PAC ID: 6800311911 Enrollment ID: I20250422002067 |
| Provider Name | Arlene Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083207559 PECOS PAC ID: 2668990359 Enrollment ID: I20250516000623 |
| Provider Name | Simone Maldonado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962150920 PECOS PAC ID: 7113437922 Enrollment ID: I20250610004228 |
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Short Hills Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 748 Morris Tpke Ste 210, Short Hills, NJ 07078 Phone: 848-391-2809 | |
Aba Unlimited, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 748 Morris Tpke Ste 200, Short Hills, NJ 07078 Phone: 973-921-0900 | |
Well Being Therapy Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 748 Morris Tpke, Suite 207, Short Hills, NJ 07078 Phone: 973-794-6888 Fax: 973-200-2590 | |
Park Road Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Park Rd., Short Hills, NJ 07078 Phone: 973-454-7405 Fax: 973-379-3008 | |
Good Talk Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Jfk Parkway (virtual), First Floor West (virtual), Short Hills, NJ 07078 Phone: 908-516-8277 | |
Dr. Mike Gross, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Chatham Road #803, Short Hills, NJ 07078 Phone: 908-913-0637 |