Healthcare Provider Details

I. General information

NPI: 1902162134
Provider Name (Legal Business Name): CARING PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 INDEPENDENCE BLVD
SICKLERVILLE NJ
08081-1039
US

IV. Provider business mailing address

104 INDEPENDENCE BLVD
SICKLERVILLE NJ
08081-1039
US

V. Phone/Fax

Practice location:
  • Phone: 856-885-4529
  • Fax: 856-885-6258
Mailing address:
  • Phone: 856-885-4529
  • Fax: 856-885-6258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number25MB05899100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number25MB05899100
License Number StateNJ

VIII. Authorized Official

Name: DR. ELIZABETH ANN BURNS
Title or Position: SOLE MEMBER
Credential: D.O.
Phone: 609-617-3466