CHRISTOPHE CLINICAL THERAPEUTIC SERVICES, LLC (NPI# 1063872497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063872497 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHE CLINICAL THERAPEUTIC SERVICES, LLC |
| Other Organization Name | COMMUNITY CLINICAL SERVICES |
| Practice Address |
1140 Burnt Tavern Rd Suite 2c Brick NJ 08724-1496 |
| Practice Telephone | 2017465279 |
| Mailing Telephone | 2017465279 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | MR. VLADIMIR CHRISTOPHE (OWNER) |
| Authorized Official Telephone | 2017465279 |
| Authorized Official Credential | LCSW, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 44SC05631600 | NJ | Agencies |
| Other Name | Type Code |
|---|---|
| Community Clinical Services | Doing Business As Name - Organization |
| Street Address |
1140 BURNT TAVERN RD SUITE 2C |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-1496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178235 | Rosa Ital | Internal Medicine | 1140 Burnt Tavern Rd, Brick, NJ 08724-1496 | 2006-01-13 |
| 1184082539 | Vladimir Christophe | Counselor | 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724-1496 | 2016-01-31 |
| 1104130988 | Tracy Goldych | Chiropractor | 1140 Burnt Tavern Rd, Suite 1c, Brick, NJ 08724-1496 | 2010-08-03 |
| 1700036597 | Autism Center for Educational Services, LLC | Day Training, Developmentally Disabled Services | 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724-1496 | 2008-09-29 |
| 1265646061 | Jeffrey I Aron | Dentist | 1140 Burnt Tavern Rd, Suite 2d, Brick, NJ 08724 | 2007-05-10 |
| 1215951819 | Brick Women's Physicians | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Suite 2a, Brick, NJ 08724-1496 | 2006-07-27 |
| 1598780033 | Mutahir Ali Abidi | Internal Medicine | 1140 Burnt Tavern Rd, Suite 1b, Brick, NJ 08724-1496 | 2006-07-13 |
| 1457328064 | Paul Louis Vetter | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-03-02 |
| 1679548663 | Ann Marie Pagano | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-02-22 |
| 1184699175 | Darlene Monique Morgan | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942721238 | Serv Achievement Centers Inc | Community/Behavioral Health | 215 Essex Dr, Brick, NJ 08723-6501 | 2017-06-28 |
| 1902347818 | Alternatives Inc. | Community/Behavioral Health | 40 Ashwood Dr, Brick, NJ 08723-3440 | 2017-03-10 |
| 1992243968 | Heart of Hope Counseling, LLC | Community/Behavioral Health | 412 Midstreams Rd, Brick, NJ 08724-3838 | 2017-02-09 |
| 1225240633 | Leading Youth Through Experience, LLC | Community/Behavioral Health | 448 19th Ave, Brick, NJ 08724 | 2007-05-06 |
| 1144345943 | Community Resource Center Inc. | Community/Behavioral Health | 2670 Yorktowne Blvd., Brick, NJ 08723 | 2007-03-20 |
| 1407913924 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | Preferred Behavioral Health of New Jersey, 1500 Route 88 West, Brick, NJ 08724 | 2007-01-03 |
| 1114560893 | The Fulton Center for Valued Living, LLC | Community/Behavioral Health | 445 Brick Blvd Ste 302, Brick, NJ 08723-6080 | 2019-10-24 |
| 1477000446 | Solution Focused Counseling LLC | Community/Behavioral Health | 270 Drum Point Rd, Brick, NJ 08757 | 2016-09-07 |
| 1508250218 | Aida Rodriguez Lcsw LLC | Community/Behavioral Health | 990 Cedar Bridge Ave, Suite B7 Pmb 133, Brick, NJ 08723-4159 | 2015-03-20 |
| 1114240074 | Preferred Behavioral Health Consulting Group, Inc. | Community/Behavioral Health | 1500 Route 88 W, Brick, NJ 08724-2320 | 2010-03-08 |
| Find all providers in BRICK | ||||
Please comment or provide details below to improve the information on CHRISTOPHE CLINICAL THERAPEUTIC SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.