Provider Demographics
NPI:1427606557
Name:QUALPSYCH CORP.
Entity Type:Organization
Organization Name:QUALPSYCH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRAGUSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-424-5702
Mailing Address - Street 1:5 PASCACK RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LK
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8317
Mailing Address - Country:US
Mailing Address - Phone:914-424-5702
Mailing Address - Fax:201-343-4391
Practice Address - Street 1:5 PASCACK RD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LK
Practice Address - State:NJ
Practice Address - Zip Code:07677-8317
Practice Address - Country:US
Practice Address - Phone:914-424-5702
Practice Address - Fax:201-343-4391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty