=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497564025
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMIT TO YOU, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 01/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 115 GLENDALE RD
-----------------------------------------------------
City | SHARON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02067-1431
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-563-7654
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 115 GLENDALE RD
-----------------------------------------------------
City | SHARON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02067-1431
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-563-7654
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SEJAL PRAJAPATI
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 201-563-7654
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------