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: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 UNIVERSITY PLAZA DRIVE SUITE 100 HACKENSACK NJ, 07601
SADDLE BROOK NJ
07663-4526
US
IV. Provider business mailing address
2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US
V. Phone/Fax
- Phone: 201-312-8599
- Fax: 201-582-0918
- Phone: 201-743-3795
- Fax: 201-582-0918
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JANET
BARBARA
SOFF
Title or Position: PSYCHIATRIC NP
Credential:
Phone: 201-312-8599