Healthcare Provider Details
I. General information
NPI: 1952290090
Provider Name (Legal Business Name): PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 UNIVERSITY PLAZA 3RD FLOOR SUITE 301
HACKENSACK NJ
07601-6202
US
IV. Provider business mailing address
2 UNIVERSITY PLAZA 3RD FLOOR SUITE 301
HACKENSACK NJ
07601-6202
US
V. Phone/Fax
- Phone: 201-975-5300
- Fax: 201-425-5975
- Phone: 201-975-5300
- Fax: 201-425-5975
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ALAN
TUNIT
Title or Position: OWNER
Credential:
Phone: 848-346-3434