Eucalyptusone
Psychiatry & Neurology, Psychiatry in Glenwood, NJ. Organization (NPI-2).
NPI number1053018317
StatusActive
Last updated in NPPESJul 20, 2026
Details
- NPI
- 1053018317
- Entity type
- Organization (NPI-2)
- Legal business name
- Eucalyptusone
- Organization subpart
- No
- Enumeration date
- Feb 7, 2023
- Certification date
- Jul 20, 2026
- Last updated
- Jul 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 104100000X | Social Worker | – | – | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 2084P0805X | – | – | ||
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | – |
Other names
- Bl3nd Tele Psych (Doing Business As)
Practice location
1 Vernon View Dr WGlenwood, NJ 07418-1010
Phone 917-909-9449
Mailing address
Po Box 92Glenwood, NJ 07418-0092
Phone 917-909-9449
Other practice locations
447 Broadway Ste 1288
New York, NY 10013-2562
New York, NY 10013-2562
Phone 833-519-1327
Authorized official
Fermin Cruz
Administrator
9172247347
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