Provider Demographics
NPI:1760673198
Name:ADVANCED PSYCHIATRIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ADVANCED PSYCHIATRIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:YERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-735-4324
Mailing Address - Street 1:65 HARRISTOWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-3317
Mailing Address - Country:US
Mailing Address - Phone:201-487-1240
Mailing Address - Fax:201-857-3419
Practice Address - Street 1:211 ESSEX STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3245
Practice Address - Country:US
Practice Address - Phone:201-487-1240
Practice Address - Fax:201-487-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty