SPECTRUM HEALTH ASSOCIATES LLC NPI 1073768230

NPI Information

NPI: 1073768230
Provider Name: SPECTRUM HEALTH ASSOCIATES, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
460 BLOOMFIELD AVE
SUITE 209
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 695-4312
Get Directions

SPECTRUM HEALTH ASSOCIATES, LLC is a child and adolescent psychiatry psychiatry neurology in Montclair, NJ. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SPECTRUM HEALTH ASSOCIATES, LLC NPI is 1073768230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

460 BLOOMFIELD AVE
SUITE 209
MONTCLAIR, NJ
ZIP 07042-582
Phone: (973) 695-4312
Fax: (973) 695-4312

The provider's authorized official is Charles Norris Cartwright .
The authorized official title is Director and has the following contact phone number (973) 695-4312.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry	25MA07063400	NEW JERSEY	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	25MA07063400	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G64180	MEDICARE UPIN	NEW JERSEY

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: 4/28/2024

NPI Synchronization or Removal

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