Provider Demographics
NPI:1649509050
Name:PSYCHIATRIC CARE ASSOC LLC
Entity type:Organization
Organization Name:PSYCHIATRIC CARE ASSOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKHIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-257-4100
Mailing Address - Street 1:735 HWY RT 18 SOUTH
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-257-4100
Mailing Address - Fax:732-257-4100
Practice Address - Street 1:735 HWY RT 18 SOUTH
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-257-4100
Practice Address - Fax:732-257-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health