Provider Demographics
NPI:1205608130
Name:MENTAL CLARITY OUTPATIENT SERVICES LLC
Entity type:Organization
Organization Name:MENTAL CLARITY OUTPATIENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:SYNDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLCY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:973-975-4111
Mailing Address - Street 1:25 POMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2941
Mailing Address - Country:US
Mailing Address - Phone:973-975-4111
Mailing Address - Fax:602-960-0476
Practice Address - Street 1:25 POMPTON AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2941
Practice Address - Country:US
Practice Address - Phone:973-975-4111
Practice Address - Fax:602-960-0476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health