Provider Demographics
NPI:1629223193
Name:BIOPSYCH ASSOCIATES, LLC
Entity type:Organization
Organization Name:BIOPSYCH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:908-852-5015
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-0912
Mailing Address - Country:US
Mailing Address - Phone:908-852-5015
Mailing Address - Fax:908-852-6886
Practice Address - Street 1:43 NEWBURGH RD
Practice Address - Street 2:SUITE 403
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3900
Practice Address - Country:US
Practice Address - Phone:908-852-5015
Practice Address - Fax:908-852-6886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00103600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty