SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED (NPI# 1194946053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194946053 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED |
| Practice Address |
400 Market St 1st Floor Camden NJ 08102-1526 |
| Mailing Address |
2500 Mcclellan Ave Ste 300 Pennsauken NJ 08109-0001 |
| Practice Telephone | 8565411700 |
| Practice Fax Number | 8565411554 |
| Mailing Telephone | (856) 361-1133 |
| Mailing Fax Number | 8564881450 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 05/22/2008 |
| NPI Reactivation Date | 2008-07-23 |
| Authorized Official Name | THERESA C WILSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8563611133 |
| Authorized Official Credential | MSW LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251T00000X | PACE Provider Organization | 403010305 | NJ | Agencies |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
403010904 | NJ | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
403010304 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DMHAS LICENSE | 403010904 | 01 |
| NJ | WORKFORCE NJ | 7677308 | 01 |
| NJ | DMHAS LICENSE | 403010304 | 01 |
| NJ | 7477007 | 05 | |
| NJ | 0041106 | 05 | |
| NJ | DMHAS LICENSE | 406010904 | 01 |
| NJ | 0515752 | 05 | |
| NJ | DMHS LICENSE | 403010305 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 53 Haddonfield Rd Ste 316, Cherry Hill, NJ 080024802 | 8563612710 | 8564881450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378379 | South Jersey Behavioral Health Resources Incorporated | In Home Supportive Care | 212 Madison Ave E, Magnolia, NJ 08049-1409 | 2007-04-25 |
| 1104348911 | South Jersey Behavioral Health Resources Incorporated | Clinic/Center | 53 Haddonfield Rd Ste 316, Cherry Hill, NJ 08002-4802 | 2017-07-13 |
| 1255491718 | South Jersey Behavioral Health Resources Incorporated | Community/Behavioral Health | 400 Market St, Camden, NJ 08102-1526 | 2006-12-12 |
| Street Address |
400 MARKET ST 1ST FLOOR |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08102-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902990229 | Tatyana Belinsky | Psychiatry & Neurology | 400 Market St, Camden, NJ 08102-1526 | 2006-10-03 |
| 1255807806 | Jessie Marie Dodson | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2018-10-22 |
| 1205349685 | Micvhelle Kelley-quiles | Licensed Practical Nurse | 400 Market St, Camden, NJ 08102-1526 | 2017-11-08 |
| 1174032346 | South Jersey Behavioral Health Resources, Inc. | Community/Behavioral Health | 400 Market St, Camden, NJ 08102-1526 | 2017-09-20 |
| 1629464987 | Juan Garcia-bossio | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2015-04-13 |
| 1740688027 | Marnique Funches | Social Worker | 400 Market St, Camden, NJ 08102-1526 | 2014-12-18 |
| 1154681898 | Julie Annette Rand | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2012-05-28 |
| 1679854905 | Sahir Muhammad | Counselor | 400 Market St, 2nd Floor, Camden, NJ 08102-1526 | 2011-08-31 |
| 1790077626 | Aisha Myers | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2011-05-11 |
| 1609173566 | Michael D. Borowiec | Counselor | 400 Market St, Camden, NJ 08102-1526 | 2011-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992432 | Gracious Smiles, Inc. | Dentist | 121 Market St., Camden, NJ 08102 | 2017-10-06 |
| 1982154837 | Karl William Medley Sr. | Health Educator | 330 Federal St., Camden County Dept. of Corrections- Second Chance, Camden, NJ 08102 | 2016-10-04 |
| 1023445699 | Northeast Pain Management | Clinic/Center | 1 Market St. #1c, Camden, NJ 08102 | 2013-09-27 |
| 1235309915 | John D Holtsclaw | Specialist | 424 Market Street, Camden, NJ 08102 | 2008-03-10 |
| 1225207780 | Camcare Health Corporation | Clinic/Center | 6th and Erie Street, Camden, NJ 08102 | 2008-02-28 |
| 1376729681 | Dean J. Pulcini | Social Worker | 530 Cooper St., Costar Center, Camden, NJ 08102 | 2008-01-16 |
| 1760525489 | Rxd Pharmacy of Nj Inc | Pharmacy | 1805 Broadway, A&b Drugs, Camden, NJ 08102 | 2007-02-14 |
| 1114068236 | Lyda Cervantes Monte | Psychiatry & Neurology | 427 Market Street, Nueva Vida Behavioral Health Center of N.j., Camden, NJ 08102 | 2007-02-09 |
| 1316936479 | Natalya Kondratyeva | Dentist | 433 Market St Ste 102, Camden, NJ 08102 | 2005-10-20 |
| 1467806935 | Michael Waak | Social Worker | 330 Federal Street, Camden County Department of Corrections, Camden, NJ 08102 | 2016-04-20 |
| Find all providers in zip 08102 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1023177714 | Connections Csp, Inc. | Clinic/Center | 124 N West St, Camden, DE 19934-1234 | 2006-12-08 |
| 1467511675 | Connections Csp, Inc. | Clinic/Center | 2197 Still Rd, Camden, DE 19934-3373 | 2006-12-06 |
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| 1821504564 | Omni Health Services, Inc. | Clinic/Center | 427 Market St, Camden, NJ 08102-1525 | 2017-12-18 |
| 1710199815 | South Arkansas Regional Health Center Camden Clinic | Clinic/Center | 211 Jackson St Sw, Camden, AR 71701-3941 | 2007-05-03 |
| 1659425429 | Albemarle Mental Health Center | Clinic/Center | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-22 |
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| 1083225957 | Hopeful Hearts Therapy LLC | Clinic/Center | 100 Horizon Drive, 1st and 2nd Floors, Hamilton, NJ 08691 | 2020-08-13 |
| 1326656182 | The Calming Place | Clinic/Center | 30 Pelham Rd, Marlton, NJ 08053-2423 | 2020-07-17 |
| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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| 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.