Healthcare Provider Details

I. General information

NPI: 1386597391
Provider Name (Legal Business Name): PSYCHIATRY DIRECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 ALBERTA DR
SADDLE BROOK NJ
07663-4526
US

IV. Provider business mailing address

84 ALBERTA DR
SADDLE BROOK NJ
07663-4526
US

V. Phone/Fax

Practice location:
  • Phone: 201-312-8599
  • Fax: 201-312-8599
Mailing address:
  • Phone: 201-743-3795
  • Fax: 973-604-4238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANET SOFF
Title or Position: PMHNP
Credential: SOFF
Phone: 201-312-8599