MCCD NJ PSYCHIATRY SERVICES PLLC – NPI #1619638822
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

MCCD NJ PSYCHIATRY SERVICES PLLC is a psychiatry & neurologist located in MARLTON, NJ. NPPES has assigned the NPI number 1619638822 to MCCD NJ PSYCHIATRY SERVICES PLLC on January 10, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 2 years ago on Mar 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCCD NJ PSYCHIATRY SERVICES PLLC below.

NPI Profile for
MCCD NJ PSYCHIATRY SERVICES PLLC

NPI Number
1619638822
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCCD NJ PSYCHIATRY SERVICES PLLC
Primary location
525 ROUTE 73 N STE 117
MARLTON, NJ 08053-3422
Phone: (833) 351-8255 Fax:
Mailing address
109 W 27TH ST STE 5S
NEW YORK, NY 10001-6208
Phone: (917) 634-5311 Fax:
Organization Subpart
No
Authorized Official
GEORGIA GAVERAS
CEO/CHIEF MEDICAL OFFICER
Phone: (917) 309-7915
Updated
Certification Date
Mar 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.