| Wayne Behavioral Service, Llc | |
|
401 Hamburg Tpke Ste. 302 Wayne NJ 07470-2139 | |
| (973) 790-9222 | |
| (973) 790-0671 |
| Full Name | Wayne Behavioral Service, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 401 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Mohamed A Elrafei (PRESIDENT) |
| Authorized Official Contact | 9737909222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Behavioral Service, Llc 401 Hamburg Tpke Suite 302 Wayne NJ 07470-2154 Ph: (973) 790-9222 | Wayne Behavioral Service, Llc 401 Hamburg Tpke Ste. 302 Wayne NJ 07470-2139 Ph: (973) 790-9222 |
| NPI Number | 1487677795 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 8820097561 |
|---|---|
| Medicare Enrollment ID | O20061207000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487677795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Igor Gefter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528013547 PECOS PAC ID: 1052308715 Enrollment ID: I20040427000053 |
| Provider Name | Carol A. Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306867148 PECOS PAC ID: 0648235895 Enrollment ID: I20041130000050 |
| Provider Name | Laura A Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467473215 PECOS PAC ID: 7416996921 Enrollment ID: I20050425001061 |
| Provider Name | Mohamed A Elrafei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114955895 PECOS PAC ID: 2163438243 Enrollment ID: I20060227000543 |
| Provider Name | Aijaz A Nanjiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639266943 PECOS PAC ID: 5698775021 Enrollment ID: I20070108000424 |
| Provider Name | Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003908005 PECOS PAC ID: 9830281427 Enrollment ID: I20070828000308 |
| Provider Name | Maripat Alger-cottone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467460626 PECOS PAC ID: 9032282827 Enrollment ID: I20080728000279 |
| Provider Name | Marina Haghour-vwich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063612059 PECOS PAC ID: 5991990939 Enrollment ID: I20101116000493 |
| Provider Name | Faiz A Cheema |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962602953 PECOS PAC ID: 5991847014 Enrollment ID: I20101213000433 |
| Provider Name | Mazie M Trusty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307430 PECOS PAC ID: 8325220965 Enrollment ID: I20110303000400 |
| Provider Name | Maryann Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336463058 PECOS PAC ID: 4587835376 Enrollment ID: I20110928000249 |
| Provider Name | Eshban M. Muthuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558620393 PECOS PAC ID: 1355506098 Enrollment ID: I20120703000493 |
| Provider Name | Peter W Longa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699081547 PECOS PAC ID: 7911147079 Enrollment ID: I20130712000553 |
| Provider Name | Anna Kravtsov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114243805 PECOS PAC ID: 1153546981 Enrollment ID: I20140710000753 |
| Provider Name | Joseph Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861899932 PECOS PAC ID: 2062730179 Enrollment ID: I20150421000359 |
| Provider Name | Azuka M Ofodike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422617 PECOS PAC ID: 8325367931 Enrollment ID: I20150504001144 |
| Provider Name | Emad Mounir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598899015 PECOS PAC ID: 5294049151 Enrollment ID: I20150805008389 |
| Provider Name | Philomina A Igwechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992167738 PECOS PAC ID: 2961799986 Enrollment ID: I20160920000065 |
| Provider Name | Isaac O Omoloyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770038788 PECOS PAC ID: 6406144492 Enrollment ID: I20161006001123 |
| Provider Name | Jessica Lynn D Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053780619 PECOS PAC ID: 5294092524 Enrollment ID: I20171122000041 |
| Provider Name | Stuart J Rauch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790949253 PECOS PAC ID: 0143254250 Enrollment ID: I20180417000427 |
| Provider Name | Linda Alice Perry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790819688 PECOS PAC ID: 5698039592 Enrollment ID: I20180501000210 |
| Provider Name | Philip Ofosu-mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725288 PECOS PAC ID: 3577898626 Enrollment ID: I20190711000611 |
| Provider Name | Mary F Switala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235788092 PECOS PAC ID: 3577893775 Enrollment ID: I20191002000865 |
| Provider Name | Emily Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158299 PECOS PAC ID: 9739519588 Enrollment ID: I20200420001911 |
| Provider Name | Mathias O Ologbosele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720604986 PECOS PAC ID: 0446679138 Enrollment ID: I20200930000012 |
| Provider Name | Katherine D Boutillier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427659473 PECOS PAC ID: 8921418427 Enrollment ID: I20201112002078 |
| Provider Name | Amanda D Moroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832520 PECOS PAC ID: 1254749484 Enrollment ID: I20210428000061 |
| Provider Name | Madia Majeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205360013 PECOS PAC ID: 6002218609 Enrollment ID: I20210706000353 |
| Provider Name | Natasha Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174296883 PECOS PAC ID: 7315343068 Enrollment ID: I20210907000671 |
| Provider Name | Carrie S Prakope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786066 PECOS PAC ID: 2668879222 Enrollment ID: I20210923002844 |
| Provider Name | Barbara A Boucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093476582 PECOS PAC ID: 1658765037 Enrollment ID: I20220301000661 |
| Provider Name | Mary Youssef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316471329 PECOS PAC ID: 8224416920 Enrollment ID: I20220608003300 |
| Provider Name | Teresa K Omwenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286688 PECOS PAC ID: 7719355213 Enrollment ID: I20221114002617 |
| Provider Name | Suctlana Aynbinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922770205 PECOS PAC ID: 9931570413 Enrollment ID: I20230119002478 |
| Provider Name | Mohamed Alhennawy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417649377 PECOS PAC ID: 9830557750 Enrollment ID: I20230623002617 |
| Provider Name | Leonid Kapulsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649633876 PECOS PAC ID: 0648518787 Enrollment ID: I20230803001256 |
| Provider Name | Deborah Eid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093423329 PECOS PAC ID: 6608223656 Enrollment ID: I20231113001760 |
| Provider Name | Rupinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467231241 PECOS PAC ID: 3274985817 Enrollment ID: I20240118003256 |
Creative Counseling Solutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 661 State Route 23, Wayne, NJ 07470 Phone: 862-881-2988 | |
Psychiatry&psychosomatic Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Pines Lake Dr E, Wayne, NJ 07470 Phone: 973-464-7599 | |
North Jersey Psychiatric Serivces Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Hamburg Tpke, Suite 303, Wayne, NJ 07470 Phone: 973-790-9222 Fax: 973-790-0671 | |
Mferra Therapy And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1581 State Route 23, Wayne, NJ 07470 Phone: 609-240-4246 | |
Wayne Counseling And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-694-1234 Fax: 973-633-0992 | |
North Jersey Psychiatry Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2035 Hamburg Tpke, Suite M, Wayne, NJ 07470 Phone: 973-839-2945 Fax: 973-839-1244 | |
Kerri Scully Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Newark Pompton Tpke, Wayne, NJ 07470 Phone: 201-650-3888 |