Healthcare Provider Details

I. General information

NPI: 1952011629
Provider Name (Legal Business Name): JV PSYCHIATRIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST
PITTSBURGH PA
15213-2561
US

IV. Provider business mailing address

106 ROBBINSVILLE ALLENTOWN RD
ROBBINSVILLE NJ
08691-1627
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-1000
  • Fax:
Mailing address:
  • Phone: 732-768-7896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. SAILAKSHMI RAMANUJAM
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 732-768-7896