Provider Demographics
NPI:1376075440
Name:BHAT PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:BHAT PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JYOTHSNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-991-0108
Mailing Address - Street 1:110 EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4124
Mailing Address - Country:US
Mailing Address - Phone:267-991-0108
Mailing Address - Fax:609-213-8732
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:SUITE A12
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2754
Practice Address - Country:US
Practice Address - Phone:267-991-0108
Practice Address - Fax:609-213-8732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103TC0700X
PA103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty