PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC


Address: 700 Airport Road, Preferred Behavioral Health Dare Program, Lakewood, NJ 08701
Phone: 7323674700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 20302-12-05 NJ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5348501 05

Other Provider/Organization Names

Other Name Type Code
Dare Program Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 700 AIRPORT ROAD
PREFERRED BEHAVIORAL HEALTH DARE PROGRAM
City LAKEWOOD
State NJ
Zip Code 08701

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

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.

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