Provider Demographics
NPI:1750187100
Name:T PSYCHIATRY ASSOCIATES
Entity type:Organization
Organization Name:T PSYCHIATRY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE LUIS
Authorized Official - Middle Name:SUAREZ
Authorized Official - Last Name:TIONGKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-288-4494
Mailing Address - Street 1:1040 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3526
Mailing Address - Country:US
Mailing Address - Phone:347-722-1410
Mailing Address - Fax:
Practice Address - Street 1:1040 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3526
Practice Address - Country:US
Practice Address - Phone:347-722-1410
Practice Address - Fax:906-208-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty