Provider Demographics
NPI:1942096722
Name:MENTAL CARE PLUS LLC
Entity type:Organization
Organization Name:MENTAL CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KHENKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:647-522-5559
Mailing Address - Street 1:560 SYLVAN AVE STE 2115
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3166
Mailing Address - Country:US
Mailing Address - Phone:201-731-8899
Mailing Address - Fax:
Practice Address - Street 1:560 SYLVAN AVE STE 2115
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3166
Practice Address - Country:US
Practice Address - Phone:201-731-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)