PROGRESSIVE OPTION SUPPORT SERVICES


Address: 221 River Street 9th Floor, Hoboken, NJ 07030
Phone: 2012414140

PROGRESSIVE OPTION SUPPORT SERVICES (NPI# 1639634470) 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) 1639634470
Entity Type Organization
Organization Name PROGRESSIVE OPTION SUPPORT SERVICES
Practice Address 221 River Street 9th Floor
Hoboken
NJ 07030
Mailing Address 221 River Street, 9th Floor
Hoboken
NJ 07030
Practice Telephone 2012414140
Practice Fax Number 2013289424
Mailing Telephone 2012414041
Mailing Fax Number 2013289424
Enumeration Date 2019-02-06
Last Update Date 2019-06-14
Authorized Official Name KERRY PITTER (CLINICAL/MANAGING DIRECTOR)
Authorized Official Telephone 2012414140
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 221 RIVER STREET 9TH FLOOR
City HOBOKEN
State NJ
Zip Code 07030

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1588147821 Melissa Ann Ronga Social Worker Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 2018-09-12
1578040952 Kerry R Pitter Psychologist 221 River Street, 9th Floor, Hoboken, NJ 07030 2018-07-27
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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]

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NPI Name Taxonomy Address Enumeration
1063057107 Only for Light Counseling Community/Behavioral Health 50 Harrison St Ste 209b, Hoboken, NJ 07030-6087 2019-11-13
1104101427 Paula Diaz Counseling Services, LLC Community/Behavioral Health 223 Bloomfield St, Suite # 121, Hoboken, NJ 07030-4747 2011-10-18

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1821603986 New Life New Hope Community/Behavioral Health 31 S Browning Ave # A, Somerdale, NJ 08083-1109 2020-09-14
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1447862875 Ymca of Greater Monmouth County Community/Behavioral Health 485 Adelphia Rd, Freehold, NJ 07728-8815 2020-08-18
1639781065 Ymca of Greater Monmouth County Community/Behavioral Health 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 2020-08-18
1487266839 Shore Integrated Counseling LLC Community/Behavioral Health 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 2020-08-18
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Competitor

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City HOBOKEN
Zip Code 07030

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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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