Specialized Therapy Associates LLC
NPI 1205174075ActiveOrganization· Psychiatry & Neurology, Psychiatry· Hackensack, NJ
Psychiatry & Neurology, Psychiatry in Hackensack, New Jersey, registered in NPPES in January 2013, part of Specialized Therapy Associates LLC. The authorized official on file is Vaness Gourdine, Director.
Overview
| NPI | 1205174075 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Specialized Therapy Associates LLC |
| NPI issued | Jan 29, 2013 |
| Last updated in NPPES | Jan 29, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | NJ |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Hackensack
- 1760673198
- 1376408419
- 1699171686
- 1679380794
- 1922813138
- 1063994960
- 1336490838
- 1922019694
- 1740699230
- 1912054420
- 1316993397
- 1023543329
All Psychiatry & Neurology, Psychiatry providers in New Jersey →