Provider Demographics
NPI:1689896177
Name:PSYCHIATRIC ASSOCIATES OF CHERRY HILL
Entity Type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF CHERRY HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GIARRAPUTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-784-7744
Mailing Address - Street 1:189 LAKEVIEW DRIVE SOUTH
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1020
Mailing Address - Country:US
Mailing Address - Phone:856-784-7744
Mailing Address - Fax:856-784-7530
Practice Address - Street 1:189 LAKEVIEW DRIVE SOUTH
Practice Address - Street 2:SUITE 102
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1020
Practice Address - Country:US
Practice Address - Phone:856-784-7744
Practice Address - Fax:856-784-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA058951002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F71939Medicare UPIN