BEACON BEHAVIORAL HEALTH SERVICES (NPI# 1649659426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649659426 |
| Entity Type | Organization |
| Organization Name | BEACON BEHAVIORAL HEALTH SERVICES |
| Practice Address |
154 Cooper Rd Suite 801 West Berlin NJ 08091-9128 |
| Practice Telephone | 8567671565 |
| Practice Fax Number | 8567674615 |
| Mailing Telephone | 8567671565 |
| Mailing Fax Number | 8567674615 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MR. NICHOLAS MCCLARY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567671565 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243148 | Beacon Behavioral Health Services | Psychologist | 102 W Beaton Dr, Suite 103, West Fargo, ND 58078-2652 | 2012-12-16 |
| Street Address |
154 COOPER RD SUITE 801 |
| City | WEST BERLIN |
| State | NJ |
| Zip Code | 08091-9128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629122262 | Beacon Behavioral Health Services LLC | Counselor | 154 Cooper Rd, Suite 801, West Berlin, NJ 08091-9128 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496179 | Daniel Deitz | Physical Therapist | 115 Nj-73, #80, West Berlin, NJ 08091 | 2020-10-27 |
| 1497393094 | Corinne Leigh Rieser | Physician Assistant | 301 Route 73 North, West Berlin, NJ 08091 | 2019-12-13 |
| 1174184584 | Carlotta Barbon | Student in an Organized Health Care Education/Training Program | Raemistrasse 100, Zuerich, SWITZERLAND 08091 | 2019-06-26 |
| 1760865976 | Sarah Beggs | Dermatology | 301 Route 73 N, West Berlin, NJ 08091 | 2015-07-07 |
| 1780873083 | Pro-fit LLC | Prosthetic/Orthotic Supplier | 215 Edgewood Ave, West Berlin, NJ 08091 | 2007-10-23 |
| 1699809384 | Daybreak Treatment Care, LLC | Clinic/Center | 258-68 Pinedge Dr., West Berlin, NJ 08091 | 2007-03-15 |
| 1538243936 | Wal-mart Stores East, Lp | Technician/Technologist | 265 North Route 73, Berlin, NJ 08091 | 2006-10-24 |
| 1457452229 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 200 Route 73 North, Suite 16, West Berlin, NJ 08091 | 2006-09-26 |
| 1326018805 | Mary Jeanne Spinosi | Family Medicine | 301 N Route 73, West Berlin, NJ 08091 | 2006-01-25 |
| 1578920260 | Edward A Tanski Jr. | Dentist | 162 Haddon Ave, West Berlin, NJ 08091 | 2016-01-26 |
| Find all providers in zip 08091 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699809384 | Daybreak Treatment Care, LLC | Clinic/Center | 258-68 Pinedge Dr., West Berlin, NJ 08091 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443650 | Quantum Behavioral Health Services LLC | Clinic/Center | 144 Mill St, Toms River, NJ 08757-5156 | 2020-10-08 |
| 1811515042 | Michelle Kerekes Lpc | Clinic/Center | 623 River Rd Ste 1, Fair Haven, NJ 07704-3267 | 2020-07-14 |
| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST BERLIN |
| Zip Code | 08091 |
Please comment or provide details below to improve the information on BEACON BEHAVIORAL HEALTH SERVICES.
| 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.