Provider Demographics
NPI:1174741847
Name:BEHAVIORAL SOLUTIONS PC
Entity type:Organization
Organization Name:BEHAVIORAL SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-729-1200
Mailing Address - Street 1:6 HAWK CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2275
Mailing Address - Country:US
Mailing Address - Phone:732-635-0209
Mailing Address - Fax:732-635-0209
Practice Address - Street 1:75 VERONICA AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5002
Practice Address - Country:US
Practice Address - Phone:732-729-1200
Practice Address - Fax:732-729-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO76193002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty