MEDICARE: SAVIA PSYCHIATRIC SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1639038763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVIA PSYCHIATRIC SERVICES, LLC

Provider Business Mailing Address
First Line	:	777 TERRACE AVE
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-3123
Country	:	US
Telephone Number	:	201-699-0508
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 TERRACE AVE STE 301
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-3112
Country	:	US
Telephone Number	:	201-699-0508
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	DEBBIE DISANZA
Credential	:
Telephone Number	:	973-600-5262

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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