Provider Demographics
NPI:1194297614
Name:CHILDPSYCH SERVICES, LLC
Entity type:Organization
Organization Name:CHILDPSYCH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:G
Authorized Official - Last Name:GROSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-851-6172
Mailing Address - Street 1:865 STATE ROUTE 33 STE 3-164
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8475
Mailing Address - Country:US
Mailing Address - Phone:732-851-6172
Mailing Address - Fax:908-200-7429
Practice Address - Street 1:865 STATE ROUTE 33 STE 3-164
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8475
Practice Address - Country:US
Practice Address - Phone:732-851-6172
Practice Address - Fax:908-200-7429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty