NPI Code Details Logo

NPI 1528965100

NPI 1528965100 : CLEAR PATH BEHAVIORAL HEALTH NJ PROFESSIONAL CORPORATION : HOBOKEN, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528965100
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLEAR PATH BEHAVIORAL HEALTH NJ PROFESSIONAL CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/26/2026
-----------------------------------------------------
    Last Update Date     |    10/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    221 RIVER ST STE 9 
-----------------------------------------------------
    City                 |    HOBOKEN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07030-5990
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-957-7661
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    221 RIVER ST STE 9 
-----------------------------------------------------
    City                 |    HOBOKEN
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07030-5990
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-957-7661
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. ERIC  CHAGHOURI 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    201-957-7661
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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