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FAIRLAWN BEHAVIORAL ASSOCIATES LLC
NPI 1861876419
Psychologist - Prescribing (Medical) in Fair Lawn, NJ

Active since July 14, 2015
15-01 BROADWAY, SUITE# 10B, FAIR LAWN, NJ 07410(201) 342-4004(201) 342-4008 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairlawn Behavioral Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRLAWN BEHAVIORAL ASSOCIATES LLC (NPI 1861876419) is a healthcare organization registered as a prescribing (medical) in Fair Lawn, New Jersey and active in the NPI registry since July 2015. The organization lists Mohsan Jan, Administartor, as its authorized official.

NPPES Registry Identity

NPI1861876419
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameFAIRLAWN BEHAVIORAL ASSOCIATES LLC
Location Address15-01 BROADWAY, SUITE# 10BFair Lawn, NJ 07410-6003
Mailing AddressPo Box 809Teaneck, NJ 07666-0809 · (201) 342-4004 · Fax (201) 243-7874
Phone(201) 342-4004
Fax(201) 342-4008
Organization SubpartNo
Authorized OfficialMohsan JanAdministartor · (201) 289-8455
Enumeration DateJuly 14, 2015
✔ NPI 1861876419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in NJ · 25MA6506500
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
15-01 BROADWAY, Fair Lawn, NJ 07410
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Other Identifiers 2

Medicare PIN073813NJ
Medicaid7492201NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIKTORIA SVERDLOV DMD
Dentist
15-01 BROADWAY, SUITE 10F
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
IMEDICAL ASSOCIATES, LLC
Internal Medicine
15-01 BROADWAY, SUITE 32
FAIR LAWN, NJ 07410
Bergen County (201) 791-6434
SAILAJA DEVI VALIVETI MD
Psychiatry & Neurology (Geriatric Psychiatry)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 794-7733
ROBERT GREENBLUM MD
Specialist
15-01 BROADWAY, STE 20
FAIR LAWN, NJ 07410
Bergen County (201) 794-6008
DR. THOMAS RENNY D.M.D.
Dentist (General Practice)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
SURGICARE SURGICAL ASSOCIATES OF FAIRLAWN, LLC
Clinic/Center (Ambulatory Surgical)
15-01 BROADWAY, STE 1
FAIR LAWN, NJ 07410
Bergen County (201) 703-8487
KUCHIPUDI BAPINEEDU, MD PA
Surgery
15-01 BROADWAY, STE. #22
FAIR LAWN, NJ 07410
Bergen County (201) 796-4848
MS. BEENA PATEL PT, DPT
Physical Therapist
15-01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 07410
Bergen County (201) 703-7107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairlawn Behavioral Associates LLC's NPI number?

The NPI number for Fairlawn Behavioral Associates LLC is 1861876419. It was assigned to this organization in the NPPES registry on July 14, 2015.

Where is Fairlawn Behavioral Associates LLC located?

Fairlawn Behavioral Associates LLC is located at 15-01 Broadway Suite# 10B, Fair Lawn, NJ 07410. The listed phone number is (201) 342-4004.

What is Fairlawn Behavioral Associates LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Fairlawn Behavioral Associates LLC was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.