| Middlesex Psychiatry & Tms Pc | |
|
165 Passaic Ave Suite 200 Fairfield NJ 07004-1580 | |
| (800) 413-8020 | |
| Not Available |
| Full Name | Middlesex Psychiatry & Tms Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Passaic Ave, Fairfield, New Jersey |
| Authorized Official Name and Position | Victoria Delisio (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8004138020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Psychiatry & Tms Pc Po Box 80815 City Of Industry CA 91716-8420 Ph: (800) 413-8020 | Middlesex Psychiatry & Tms Pc 165 Passaic Ave Suite 200 Fairfield NJ 07004-1580 Ph: (800) 413-8020 |
| NPI Number | 1053971572 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 09/02/2025 |
| Certification Date | 06/16/2025 |
| Medicare PECOS PAC ID | 7315334000 |
|---|---|
| Medicare Enrollment ID | O20220427002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053971572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992942007 PECOS PAC ID: 9436206406 Enrollment ID: I20090408000245 |
| Provider Name | Jenika L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255503892 PECOS PAC ID: 7113249855 Enrollment ID: I20150130000100 |
| Provider Name | Christianah Adelakun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043646839 PECOS PAC ID: 9436450228 Enrollment ID: I20151221001959 |
| Provider Name | Olga Gonzalez-byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516582 PECOS PAC ID: 1850680679 Enrollment ID: I20160518001612 |
| Provider Name | Emily J Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962869016 PECOS PAC ID: 5698066033 Enrollment ID: I20160615001754 |
| Provider Name | Rafia Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043712003 PECOS PAC ID: 9739436239 Enrollment ID: I20181220001959 |
| Provider Name | Sana Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386293413 PECOS PAC ID: 4284060468 Enrollment ID: I20200206001580 |
| Provider Name | Margaret Rode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932739273 PECOS PAC ID: 5294163598 Enrollment ID: I20200320000500 |
| Provider Name | Luke Hayslip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184278681 PECOS PAC ID: 9133533169 Enrollment ID: I20210202001906 |
| Provider Name | Ulanda Marcus-aiyeku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637174 PECOS PAC ID: 3779992540 Enrollment ID: I20210506002433 |
| Provider Name | Esohe Obasohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801476932 PECOS PAC ID: 3173922929 Enrollment ID: I20210527000084 |
| Provider Name | Alena Debrosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053561738 PECOS PAC ID: 3072403062 Enrollment ID: I20210916001176 |
| Provider Name | Krystal L Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356000343 PECOS PAC ID: 3173915881 Enrollment ID: I20220108000108 |
| Provider Name | Denise B Lynam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166231 PECOS PAC ID: 1951793132 Enrollment ID: I20220120001072 |
| Provider Name | Debora Monserrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134698640 PECOS PAC ID: 9335488816 Enrollment ID: I20220201002947 |
| Provider Name | Jacqueline Haydee Hunterton-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710597422 PECOS PAC ID: 7719364504 Enrollment ID: I20220517001502 |
| Provider Name | Mercedes Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609460732 PECOS PAC ID: 6305224551 Enrollment ID: I20220601000293 |
| Provider Name | Selami Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588398937 PECOS PAC ID: 8820472590 Enrollment ID: I20220830000032 |
| Provider Name | Fitsum E Alemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255051306 PECOS PAC ID: 7012384100 Enrollment ID: I20221102001193 |
| Provider Name | Olurounke Remi-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564535 PECOS PAC ID: 4587909254 Enrollment ID: I20221109002166 |
| Provider Name | Sean Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447947106 PECOS PAC ID: 6305204108 Enrollment ID: I20230627001928 |
| Provider Name | Lisa Scarlatella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073274049 PECOS PAC ID: 4880049014 Enrollment ID: I20231009001671 |
| Provider Name | Habiba Mzougui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544147 PECOS PAC ID: 1456637578 Enrollment ID: I20231128003756 |
| Provider Name | Henrietta Bannerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477974095 PECOS PAC ID: 1850741018 Enrollment ID: I20240102001297 |
| Provider Name | Dana S Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013674084 PECOS PAC ID: 7113372491 Enrollment ID: I20240202000920 |
| Provider Name | Myrto Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779067 PECOS PAC ID: 3870871304 Enrollment ID: I20240228004073 |
| Provider Name | Hanan Khorchid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033643408 PECOS PAC ID: 5991038861 Enrollment ID: I20240412001897 |
| Provider Name | William J Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376382911 PECOS PAC ID: 6608310776 Enrollment ID: I20240630000059 |
| Provider Name | Brandy Tramel Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356107452 PECOS PAC ID: 4183169741 Enrollment ID: I20240709000250 |
| Provider Name | Michael Marco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639918949 PECOS PAC ID: 3870039845 Enrollment ID: I20240725004420 |
| Provider Name | Franchesca Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679093827 PECOS PAC ID: 7113282880 Enrollment ID: I20240726000197 |
| Provider Name | Kevin C Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972343549 PECOS PAC ID: 4688110513 Enrollment ID: I20240726002166 |
| Provider Name | Yuriko Matsuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467085092 PECOS PAC ID: 9931648292 Enrollment ID: I20240829004495 |
| Provider Name | Summer Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922719814 PECOS PAC ID: 3779942370 Enrollment ID: I20241109000511 |
| Provider Name | Michelle Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306604624 PECOS PAC ID: 1759816853 Enrollment ID: I20241126003633 |
| Provider Name | Nichole Bruder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043983091 PECOS PAC ID: 8628506839 Enrollment ID: I20250115000839 |
| Provider Name | Billy Mercedes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902373921 PECOS PAC ID: 1456889633 Enrollment ID: I20250115003985 |
| Provider Name | Jovan Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922797125 PECOS PAC ID: 2466980560 Enrollment ID: I20250116001001 |
| Provider Name | Staci Lynn Henshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184441057 PECOS PAC ID: 0547799751 Enrollment ID: I20250131002236 |
| Provider Name | Nicole Ellen Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548076912 PECOS PAC ID: 2961932942 Enrollment ID: I20250205003139 |
| Provider Name | Monisola M Somoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225672512 PECOS PAC ID: 8123558731 Enrollment ID: I20250212001605 |
| Provider Name | Andrew Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518625540 PECOS PAC ID: 6305366220 Enrollment ID: I20250224000003 |
| Provider Name | Catalina Robles-ayala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740684315 PECOS PAC ID: 9537680046 Enrollment ID: I20250312001856 |
| Provider Name | Jennyfer Solorzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871328682 PECOS PAC ID: 1850813858 Enrollment ID: I20250319002743 |
| Provider Name | Chaddy Cantona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932813110 PECOS PAC ID: 3274050166 Enrollment ID: I20250505001501 |
Autism Sports Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Hollywood Ave Ste 11, Fairfield, NJ 07004 Phone: 551-280-3172 | |
Center For Childrens Behavioral Health Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 356 Horseneck Rd, Fairfield, NJ 07004 Phone: 732-330-4223 | |
Brave Wings Academy, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004 Phone: 973-800-8515 | |
Neurophysiologic Interpretive Medicine Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 700 Us Highway 46, Suite 420, Fairfield, NJ 07004 Phone: 973-882-3456 Fax: 973-882-3450 | |
Beyond Today Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Fairfield Rd, Suite 102, Fairfield, NJ 07004 Phone: 973-462-4409 | |
Full Recovery, Inc. Dba Full Recovery Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Route 46 W, Fairfield, NJ 07004 Phone: 973-244-0022 |