Provider Demographics
NPI:1992434740
Name:PSYCHIATRIC FAMILY CARE LLC
Entity type:Organization
Organization Name:PSYCHIATRIC FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:551-804-0885
Mailing Address - Street 1:17-10 RIVER RD STE 2C
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1250
Mailing Address - Country:US
Mailing Address - Phone:551-804-0885
Mailing Address - Fax:
Practice Address - Street 1:17-10 RIVER RD STE 2C
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1250
Practice Address - Country:US
Practice Address - Phone:551-804-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty