Legend Psych LLC
Clinic/Center, Adult Mental Health in Oradell, New Jersey
1114519360- Practice location
- 550 Kinderkamack RD Ste 108, Oradell, NJ 07649-1500
- Phone
- 201-523-4113
- Fax
- —
- Last updated
- May 27, 2021
Legend Psych LLC is a healthcare organization based in Oradell, NJ. Legend Psych LLC practices in Oradell, NJ. The NPI Number for Legend Psych LLC is 1114519360. The current practice location address for Legend Psych LLC is 550 Kinderkamack RD Ste 108, Oradell, NJ 07649-1500 and can be reached out via phone at 201-523-4113.
Provider Profile Details
- NPI Number
- 1114519360
- Provider Name
- Legend Psych LLC
- Provider Entity Type
- Organization
- Address
- 550 Kinderkamack RD Ste 108, Oradell, NJ 07649-1500
- Phone Number
- 201-523-4113
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Mr. Blake W Jonas, LMFT · Owner · 201-523-4113
- Provider Enumeration Date
- February 9, 2021
- Last Update Date
- May 27, 2021
- Certification Date
- May 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 Kinderkamack RD Ste 108
Oradell, NJ 07649-1500 - City
- Oradell
- State
- New Jersey
- Zip
- 07649-1500
- Phone Number
- 201-523-4113
Provider Business Mailing Address Details
- Address
- 239 Prospect Ave Apt 1
New Milford, NJ 07646-1764 - City
- New Milford
- State
- NJ
- Zip
- 07646-1764
- Phone Number
- 201-523-4113
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near Oradell, NJ
View all Clinic/Center, Adult Mental Health providers in Oradell →- Sarah Kim LCSWCounselor, Mental Health · NPI 1932000742
- Miorky Peraza, NPNurse Practitioner · NPI 1851922975
- Jonathan Smith, PHD, MA, PD, LMFTPsychologist, Clinical · NPI 1881057404
- Aurelian Anesthesia LLCAnesthesiology · NPI 1861390841
- Rebecca A CoakleySocial Worker · NPI 1699672204
- Janice J Yoon, LCSWSocial Worker, Clinical · NPI 1205733706
Frequently Asked Questions
What is the NPI number of Legend Psych LLC?
The NPI number of Legend Psych LLC is 1114519360. It was assigned on February 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Legend Psych LLC?
Legend Psych LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Legend Psych LLC practice?
The practice location is 550 Kinderkamack RD Ste 108, Oradell, NJ 07649-1500. The office can be reached at 201-523-4113 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114519360 directly on the NPPES registry website.