NPI Code Details Logo

NPI 1437008521

NPI 1437008521 : CEREBELLUM PSYCHIATRY LLC : DAYTON, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437008521
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CEREBELLUM PSYCHIATRY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/22/2026
-----------------------------------------------------
    Last Update Date     |    01/22/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    401 RIDGE RD 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08810-3300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-456-6771
-----------------------------------------------------
    Fax                  |    732-456-6774
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    812 WINDSOR PERRINEVILLE 
-----------------------------------------------------
    City                 |    EAST WINDSOR
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08520-6136
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-456-6771
-----------------------------------------------------
    Fax                  |    732-456-6774
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHERYL  CAREW 
-----------------------------------------------------
    Credential           |    NP
-----------------------------------------------------
    Telephone            |    609-642-3485
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.