Healthcare Provider Details

I. General information

NPI: 1659208643
Provider Name (Legal Business Name): TMR MENTAL HEALTH CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 MAIN ST
HACKENSACK NJ
07601-4858
US

IV. Provider business mailing address

835 MAIN ST
HACKENSACK NJ
07601-4858
US

V. Phone/Fax

Practice location:
  • Phone: 201-678-1802
  • Fax: 201-322-3738
Mailing address:
  • Phone: 201-678-1802
  • Fax: 201-322-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TASIA MILICEVIC
Title or Position: FOUNDER, DIRECTOR OF OPERATIONS
Credential:
Phone: 201-528-5757