Provider Demographics
NPI:1699292193
Name:NADIMEH H BADAAN, PSY.D., LLC
Entity type:Organization
Organization Name:NADIMEH H BADAAN, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIMEH
Authorized Official - Middle Name:HANI
Authorized Official - Last Name:BADAAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:201-572-6191
Mailing Address - Street 1:615 ADAMS ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8025
Mailing Address - Country:US
Mailing Address - Phone:1201-572-6191
Mailing Address - Fax:
Practice Address - Street 1:615 ADAMS ST APT 3C
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-8025
Practice Address - Country:US
Practice Address - Phone:1201-572-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5779103TC0700X
FL9824103TC0700X
NY022109-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty