| Shivshakti Psychiatry Care Llc | |
|
1527 State Route 27 Ste 1600 Somerset NJ 08873-3905 | |
| (732) 712-3787 | |
| Not Available |
| Full Name | Shivshakti Psychiatry Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1527 State Route 27 Ste 1600, Somerset, New Jersey |
| Authorized Official Name and Position | Kiran Patel (PROVIDER) |
| Authorized Official Contact | 5516979971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shivshakti Psychiatry Care Llc 1527 State Route 27 Ste 1600 Somerset NJ 08873-3905 Ph: (908) 900-1116 | Shivshakti Psychiatry Care Llc 1527 State Route 27 Ste 1600 Somerset NJ 08873-3905 Ph: (732) 712-3787 |
| NPI Number | 1881375707 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 8325493315 |
|---|---|
| Medicare Enrollment ID | O20231011001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881375707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie A Jaarsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588127724 PECOS PAC ID: 9133554892 Enrollment ID: I20200127002152 |
| Provider Name | Kiran Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790417152 PECOS PAC ID: 6103298617 Enrollment ID: I20230209002464 |
| Provider Name | Sherritta Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609014323 PECOS PAC ID: 2961859640 Enrollment ID: I20240830002564 |
| Provider Name | Laverne E Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740333020 PECOS PAC ID: 2062933690 Enrollment ID: I20250311002742 |
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