DISCOVERY BEHAVIORAL HEALTH


Address: 134 Grand Ave, Leonia, NJ 07605-2006
Phone: 2019691722

DISCOVERY BEHAVIORAL HEALTH (NPI# 1598816993) 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) 1598816993
Entity Type Organization
Organization Name DISCOVERY BEHAVIORAL HEALTH
Other Organization Name DSCOVERY HOUSE
Practice Address 134 Grand Ave
Leonia
NJ 07605-2006
Mailing Address 1749 Hooper Ave
Suite 102
Toms River
NJ 08753-8130
Practice Telephone 2019691722
Practice Fax Number 2019691754
Mailing Telephone 7322559411
Mailing Fax Number 7322559424
Enumeration Date 2007-01-15
Last Update Date 2008-06-18
Authorized Official Name DONALD D OH (DIRECTOR)
Authorized Official Telephone 7322559411
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name DONALD D.OH,M.D.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
CN#860526-21-14 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0040215 05
NJ 0040207 05

Other Provider/Organization Names

Other Name Type Code
Dscovery House Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578624300 Discovery Behavioral Health Counselor 111 Se Douglas St, Suite E, Newport, OR 97365-4499 2006-12-13

Office Location

Street Address 134 GRAND AVE
City LEONIA
State NJ
Zip Code 07605-2006

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1881956852 Drama for Healing, LLC Community/Behavioral Health 127 Christie Street, 1st Floor, Leonia, NJ 07605 2012-06-14
1740566058 Jacqueline Juele-schuster Nurse Practitioner 471 Broad Avenue, Leonia, NJ 07605 2011-11-01
1083914279 Dohyang Lee Nurse Practitioner 600 Grand Ave., Leonia, NJ 07605 2010-10-22
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1942360599 Tae Yul Choi Dentist 110 Broad Ave, Leonia, NJ 07605 2006-12-12
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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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
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Competitor

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City LEONIA
Zip Code 07605

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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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