SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED (NPI# 1255491718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255491718 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED |
| Practice Address |
400 Market St Camden NJ 08102-1526 |
| Practice Telephone | 8565411700 |
| Practice Fax Number | 8565411382 |
| Mailing Telephone | 8565411700 |
| Mailing Fax Number | 8565411382 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | THERESA C WILSON (PRESIDENT CEO) |
| Authorized Official Telephone | 8565411700 |
| Authorized Official Credential | MSW LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | D05 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7477007 | 05 | |
| NJ | 7677308 | 05 | |
| NJ | 0083909 | 05 | |
| NJ | OP0041106 | 05 |
| 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 |
| 1194946053 | South Jersey Behavioral Health Resources Incorporated | PACE Provider Organization | 400 Market St, 1st Floor, Camden, NJ 08102-1526 | 2007-05-01 |
| Street Address |
400 MARKET ST |
| 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 | 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 |
|---|---|---|---|---|
| 1598151292 | Creative Counseling Service, LLC | Community/Behavioral Health | 104 Investors Way, Camden, NC 27921-0000 | 2015-04-09 |
| 1568764074 | Restoring and Equipping Adults and Children With Hope, Inc. | Community/Behavioral Health | 122 Gumberry Rd, Camden, NC 27921-7012 | 2010-12-03 |
| 1346542891 | Hispanic Family Center of Southern Nj Inc | Community/Behavioral Health | 2700 Westfield Ave, Camden, NJ 08105-2427 | 2010-12-03 |
| 1821224114 | Internal Family Relation, Inc | Community/Behavioral Health | 112 Nc Highway 343 S, Camden, NC 27921-9646 | 2009-06-02 |
| 1487804456 | Dayspring Behavioral Health | Community/Behavioral Health | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2008-09-25 |
| 1104016708 | Merakey Parkside Recovery | Community/Behavioral Health | 413 S Broadway, Camden, NJ 08103-1211 | 2007-07-30 |
| 1154449916 | Center for Family Services | Community/Behavioral Health | 594 Benson St, Camden, NJ 08103-1324 | 2007-03-27 |
| 1982722948 | Helt Co | Community/Behavioral Health | 118 Southwood Dr, Camden, AR 71701-9651 | 2007-03-27 |
| 1831216464 | Center for Family Services | Community/Behavioral Health | 560 Benson St, Camden, NJ 08103-1324 | 2007-03-26 |
| 1801925029 | Kershaw County Teen Health Promotion Coalition | Community/Behavioral Health | 110 E Dekalb St, Camden, SC 29020-4432 | 2007-03-05 |
| Find all providers in CAMDEN | ||||
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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.