Healthcare Provider Details

I. General information

NPI: 1285569319
Provider Name (Legal Business Name): PSYCHSERVE BEHAVIORAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 FORSHEE CIR
MONTVALE NJ
07645-1781
US

IV. Provider business mailing address

7 MARGARET CT
SCHAUMBURG IL
60194-3553
US

V. Phone/Fax

Practice location:
  • Phone: 201-702-3065
  • Fax:
Mailing address:
  • Phone: 267-229-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK OCZKOS
Title or Position: PRESIDENT
Credential: MD
Phone: 201-702-3065