ABBY ROAD PSYCHIATRIC SERVICES LLC NPI 1053807305

NPI Information

  • NPI: 1053807305
  • Provider Name: ABBY ROAD PSYCHIATRIC SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 31D2170805
  • Address: 7 HENDRICKSON AVE
    RED BANK, NJ
    ZIP 07701
  • Phone: (732) 893-5316

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NPI Details

ABBY ROAD PSYCHIATRIC SERVICES LLC is a mental health (including community mental health center) clinic center in Red Bank, NJ. ABBY ROAD PSYCHIATRIC SERVICES LLC NPI is 1053807305. The provider is registered as an organization entity type.

The provider's business location address is:

7 HENDRICKSON AVE
RED BANK, NJ
ZIP 07701-122
Phone: (732) 893-5316

The provider's authorized official is Anthony Dimura .
The authorized official title is Owner and has the following contact phone number (908) 433-7263.

The CLIA number assigned to this NPI record is 31D2170805 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2018 and was last updated on 8/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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