Provider Demographics
NPI:1912557349
Name:MEISEL NP IN PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:MEISEL NP IN PSYCHIATRY, PLLC
Other - Org Name:MEISEL NP IN PSYCHIATRY PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISEL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, RN
Authorized Official - Phone:740-777-6184
Mailing Address - Street 1:641 PRESIDENT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1186
Mailing Address - Country:US
Mailing Address - Phone:740-777-6184
Mailing Address - Fax:206-309-3725
Practice Address - Street 1:38 8TH AVENUE
Practice Address - Street 2:1ST FL SUITE 10
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:740-777-6184
Practice Address - Fax:206-309-3725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)