1487717989 NPI number — FRANKENSTEIN & STEEN LLC

Table of content: (NPI 1487717989)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487717989 NPI number — FRANKENSTEIN & STEEN LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKENSTEIN & STEEN LLC
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:
1487717989
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 RECKLESS PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RED BANK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07701-1703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-530-9330
Provider Business Mailing Address Fax Number:
732-530-4145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 RECKLESS PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BANK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07701-1703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-530-9330
Provider Business Practice Location Address Fax Number:
732-530-4145
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STEEN
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
LICENSED PSYCHOLOGIST
Authorized Official Telephone Number:
732-530-9330

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  35SI00197600 , 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: 127985000 . This is a "MAGELLAN HEALTH SERVICES" identifier . This identifiers is of the category "OTHER".




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