Healthcare Provider Details

I. General information

NPI: 1346583549
Provider Name (Legal Business Name): ARCADIAPSYCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRANKLIN SQUARE DR STE 108
SOMERSET NJ
08873-4109
US

IV. Provider business mailing address

116 EMERSON RD
SOMERSET NJ
08873-1681
US

V. Phone/Fax

Practice location:
  • Phone: 732-236-0123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number37LC00195100
License Number StateNJ

VIII. Authorized Official

Name: DEEPESH V PATEL
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 732-236-0123