Healthcare Provider Details

I. General information

NPI: 1639015811
Provider Name (Legal Business Name): MODERN PSYCHIATRY AL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 S UNIVERSITY BLVD STE A1
MOBILE AL
36609-2944
US

IV. Provider business mailing address

40 BEY LEA RD STE C101
TOMS RIVER NJ
08753-2900
US

V. Phone/Fax

Practice location:
  • Phone: 732-831-6094
  • Fax:
Mailing address:
  • Phone: 732-831-6094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. FELIX ARON GELLER
Title or Position: OWNER
Credential:
Phone: 903-721-1330