NEW JERSEY CENTER FOR COGNITIVE AND DIALECTICAL BEHAVIOR THERAPY (NPI# 1518516061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518516061 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CENTER FOR COGNITIVE AND DIALECTICAL BEHAVIOR THERAPY |
| Practice Address |
1250 Sussex Tpke Ste N Randolph NJ 07869 |
| Mailing Address |
Po Box 645 Mount Freedom NJ 07970-0645 |
| Practice Telephone | 9735322256 |
| Mailing Telephone | 2014034315 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | MICHAEL BODTMANN (OWNER) |
| Authorized Official Telephone | 2014034315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 9735322256 | |
| 8 James Rd, Randolph, NJ 078692728 | 2014034315 |
| Street Address |
1250 SUSSEX TPKE STE N |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| 1013377506 | Brightview Randolph, LLC | Alzheimer Center (Dementia Center) | 175 Quaker Church Road, Randolph, NJ 07869 | 2016-02-26 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173593 | Larochante International Counseling Services | Clinic/Center | 10 Mazzeo Dr Ste 214, Randolph, MA 02368-3433 | 2018-02-06 |
| 1891096160 | Lamour Community Health Institute, Inc | Clinic/Center | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589017 | Healthcareserv Inc | Clinic/Center | 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 | 2020-08-18 |
| 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.