1831333087 NPI number — PATRICIA J. PARSONS, PHD, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831333087 NPI number — PATRICIA J. PARSONS, PHD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PATRICIA J. PARSONS, PHD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831333087
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 VOSE AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH ORANGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07079-2019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-761-0270
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 VOSE AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07079-2019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-761-0270
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
PARSONS
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
JOYCE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
973-761-0270

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  35SI00144100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000995000 . This is a "MAGELLAN BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040885 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 190577 . This is a "MENTAL HEALTH NETWORK/HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: NWK02166 . This is a "POSTAL INSPECTION SERVICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P-62493721 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: D473045 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2915201 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4554947 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6143801 . This is a "UNITED BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".




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