Community Psychiatric Institute | |
67 Sanford St East Orange NJ 07018-1926 | |
(973) 673-3342 | |
(973) 673-5612 |
Full Name | Community Psychiatric Institute |
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Speciality | Community/Behavioral Health |
Location | 67 Sanford St, East Orange, New Jersey |
Authorized Official Name and Position | Alan N. Furst (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9736733342 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Psychiatric Institute 67 Sanford St East Orange NJ 07018-1926 Ph: (973) 673-3342 | Community Psychiatric Institute 67 Sanford St East Orange NJ 07018-1926 Ph: (973) 673-3342 |
NPI Number | 1811053101 |
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Provider Enumeration Date | 12/29/2006 |
Last Update Date | 02/13/2023 |
Medicare PECOS PAC ID | 0345305249 |
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Medicare Enrollment ID | O20090211000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811053101 | NPI | - | NPPES |
0016004 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 07181-01-05 (New Jersey) | Primary |
Provider Name | Douglas Reichert |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760868426 PECOS PAC ID: 9739099367 Enrollment ID: I20240703000563 |
United Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 S Harrison St Suite 304, East Orange, NJ 07018 Phone: 862-438-8265 | |
Clinical Consulting Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, East Orange, NJ 07018 Phone: 973-417-6871 | |
Lianmed Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 | |
East Orange Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Munn Ave, East Orange, NJ 07018 Phone: 973-674-8100 Fax: 973-674-8400 | |
A1 Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Central Ave, Suite 310, East Orange, NJ 07018 Phone: 973-678-2900 Fax: 973-678-8183 | |
Comprehensive Community Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Freeway Dr E Ste 302, East Orange, NJ 07018 Phone: 845-738-8770 | |
Salerno Medical Associates, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 613 Park Ave Fl 2, East Orange, NJ 07017 Phone: 973-672-8573 Fax: 973-675-0040 |