PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC (NPI# 1467519728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467519728 |
Entity Type | Organization |
Organization Name | PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC |
Other Organization Name | DARE PROGRAM |
Practice Address |
700 Airport Road Preferred Behavioral Health Dare Program Lakewood NJ 08701 |
Mailing Address |
P.o. Box 2036 Preferred Behavioral Health of New Jersey Lakewood NJ 08701 |
Practice Telephone | 7323674700 |
Practice Fax Number | 7323642253 |
Mailing Telephone | 7324581700 |
Mailing Fax Number | 7327853296 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-03-06 |
Authorized Official Name | JULIE VANORE (CAO) |
Authorized Official Telephone | 7324581700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 20302-12-05 | NJ | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 5348501 | 05 |
Other Name | Type Code |
---|---|
Dare Program | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295237212 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1200 River Ave Ste 9d, Lakewood, NJ 08701-5657 | 2018-03-06 |
1487204145 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 725 Airport Rd Ste 2b, Lakewood, NJ 08701-5968 | 2019-09-16 |
1780188060 | Preferred Behavioral Health of New Jersey, Inc | Community/Behavioral Health | 1191 Lakewood Rd, Toms River, NJ 08753-4172 | 2018-03-21 |
1134623416 | Preferred Behavioral Health of New Jersey, Inc | Community/Behavioral Health | 1405 Highway 35, Ocean, NJ 07712-3532 | 2018-03-21 |
1154835692 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1191 Lakewood Rd, Toms River, NJ 08753-4172 | 2017-11-20 |
Street Address |
700 AIRPORT ROAD PREFERRED BEHAVIORAL HEALTH DARE PROGRAM |
City | LAKEWOOD |
State | NJ |
Zip Code | 08701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811050826 | Lisette Salguero | Social Worker | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2006-12-19 |
1326593286 | Courtney Wuss | Nurse Practitioner | 700 Airport Road, Lakewood, NJ 08701 | 2016-08-22 |
1750618054 | Soroh Wolk | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-11-06 |
1962640524 | David Seegert | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-02-04 |
1730327867 | David Grandcolas | Counselor | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-01-28 |
1780869412 | Preferred Behavioral Health of Nj Lcsc | Clinic/Center | 700 Airport Road, Preferred Behaviroal Health of Nj, Lakewood, NJ 08701 | 2007-12-31 |
1316150212 | Jed Klein | Social Worker | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2007-05-07 |
1194856690 | Michael Burke | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2007-03-08 |
1699818690 | Judith Defrancesco | Counselor | 700 Airport Road, Preferred Behavioral Health of Nj Ccmrs, Lakewood, NJ 08701 | 2007-02-15 |
1952442352 | Julia A Hallberg | Counselor | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2007-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
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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] |
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1770126138 | Whispering Pines Wellness | Community/Behavioral Health | 950 Wadsworth Blvd Ste 201, Lakewood, CO 80214-4542 | 2019-10-17 |
1770135592 | Ymca of Greater Monmouth County | Community/Behavioral Health | 90 Spruce St, Lakewood, NJ 08701-5329 | 2019-07-11 |
1861044687 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1141 E County Line Rd, Lakewood, NJ 08701-2153 | 2019-07-11 |
1053979278 | Fuller Life Concepts | Community/Behavioral Health | 5150 Candlewood St Ste 18c, Lakewood, CA 90712-1927 | 2019-06-03 |
1720641004 | Beaware Corp.. | Community/Behavioral Health | 1215 Route 70 Ste 2001, Lakewood, NJ 08701-7023 | 2019-04-22 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1760962369 | Desiree Fink | Community/Behavioral Health | 4726 Josie Ave, Lakewood, CA 90713-2701 | 2018-08-14 |
1245716695 | New Trail Counseling | Community/Behavioral Health | 10230 W 26th Ave Ste 9, Lakewood, CO 80215-1424 | 2018-07-18 |
1003315839 | Anxiety Gaming Inc | Community/Behavioral Health | 5150 Candlewood Street, 6e, Lakewood, CA 90712-1925 | 2018-02-07 |
1699287748 | Schi Disability Services | Community/Behavioral Health | 1147 Central Ave, Lakewood, NJ 08701 | 2017-10-30 |
Find all providers in LAKEWOOD |
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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.