Fairlawn Behavioral Associates Llc is a Prescribing (Medical) - Psychology Clinic in Fair Lawn, New Jersey. It is located at 15-01 Broadway, Suite# 10b, Fair Lawn, NJ and its contact number is 201-342-4004. The authorized person for Fairlawn Behavioral Associates Llc is Mr. Mohsan Jan
who is Administartor of the clinic and his/her contact number is 201-289-8455. The primary license number for Fairlawn Behavioral Associates Llc is 25MA6506500 (Prescribing (Medical)) in New Jersey. Fairlawn Behavioral Associates Llc Clinic is a licensed psychologist who has completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and is authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Complete Clinic Profile:
Fairlawn Behavioral Associates Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fairlawn Behavioral Associates Llc
Specialization:
Prescribing (Medical) Psychology
Clinic Address:
15-01 Broadway, Suite# 10b, Fair Lawn, New Jersey, 07410-6003
Phone:
201-342-4004
Fax:
201-342-4008
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Mohsan Jan
Position:
Administartor
Contact Number:
201-289-8455
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fairlawn Behavioral Associates Llc clinic are as mentioned below.
NPI Number:
1861876419
NPI Enumeration Date:
14 Jul, 2015
NPI Last Update On:
14 Jul, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairlawn Behavioral Associates Llc are as mentioned below.
Specialization
License Number
State
Status
Prescribing (Medical)
25MA6506500
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7492201
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fairlawn Behavioral Associates Llc Po Box 809, Teaneck, New Jersey
Zip:
07666-0809
Phone Number:
201-342-4004
Fax Number:
201-243-7874
Patients can reach Fairlawn Behavioral Associates Llc at 15-01 Broadway, Suite# 10b, Fair Lawn, New Jersey or can call to book an appointment on 201-342-4004. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.