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Organization
UPA NP LLC
Active
Organization
UPA NP LLC
Active
Other names
University Psychiatric Associates NP
Organization subpart
No
Provider details
NPI number
Authorized official
SIMI BAKSHI (CHIEF FINANCIAL OFFICER)
(973) 972-6713
Entity
Organization
Contact information
Practice address
30 BERGEN STREET, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN STREET, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
09/11/2025
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