Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairlawn Behavioral Associates LLC

Organization Prescribing (Medical) Psychologist · NPI 1861876419

Fairlawn Behavioral Associates LLC is a Prescribing (Medical) Psychologist in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15-01 Broadway Suite# 10B
Fair Lawn, NJ 07410-6003
Phone: (201) 342-4004
Fax: (201) 342-4008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 25MA6506500 (NJ)

Record details

NPI number1861876419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohsan Jan — Administartor · (201) 289-8455
NPI enumeratedJuly 14, 2015
Last updated in NPPESJuly 14, 2015
Mailing addressPo Box 809, Teaneck, NJ 07666-0809