PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC. (NPI# 1700943065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700943065 |
| Entity Type | Organization |
| Organization Name | PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC. |
| Other Organization Name | SAIL PROGRAM |
| Practice Address |
591 Lakehurst Rd Preferred Behavioral Health of Nj Sail Program Toms River NJ 08755-8045 |
| Mailing Address |
P.o. Box 2036 Preferred Behavioral Health of New Jersey Lakewood NJ 08701 |
| Practice Telephone | 7323671710 |
| Practice Fax Number | 7323677422 |
| Mailing Telephone | 7323671700 |
| Mailing Fax Number | 7323677422 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 20302-02-03 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0491535 | 05 |
| Other Name | Type Code |
|---|---|
| SAIL program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780118869 | Preferred Behavioral Health of New Jersey, Inc. | Clinic/Center | 1405 Route 35, Ocean, NJ 07712-3532 | 2017-04-17 |
| 1407913924 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | Preferred Behavioral Health of New Jersey, 1500 Route 88 West, Brick, NJ 08724 | 2007-01-03 |
| 1790842151 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | Preferred Behavioral Health of Nj Out Patient Services, 848 West Bay Ave C - 1, Barnegat, NJ 08005 | 2007-01-03 |
| 1326552829 | Preferred Behavioral Health of New Jersey, Inc. | Clinic/Center | 848 W Bay Ave, Barnegat, NJ 08005-2126 | 2017-11-21 |
| 1801943717 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | 725 Airport Rd, Preferred Behavioral Health of Nj Interact Program, Lakewood, NJ 08701-5968 | 2007-01-04 |
| 1386701894 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | 700 Airport Road, Preferred Behavioral Health Out Patient Services, Lakewood, NJ 08701 | 2007-01-03 |
| 1457418717 | Preferred Behavioral Health of New Jersey, Inc. | Community/Behavioral Health | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2007-01-03 |
| Street Address |
591 LAKEHURST RD PREFERRED BEHAVIORAL HEALTH OF NJ SAIL PROGRAM |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08755-8045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422271 | Michael G Kachmar | Podiatrist | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2006-01-18 |
| 1306445192 | Athena Evamarie Burke | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2020-10-22 |
| 1487272449 | Tara Kelly | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2020-07-07 |
| 1558902833 | Jessica Vlossak | Counselor | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-10-08 |
| 1659912004 | Caitlin Dorn | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-10-07 |
| 1508412370 | Julianne Mary Brennan | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-08-16 |
| 1730732884 | Katherine Miller | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-07-18 |
| 1093373474 | Linda Napier | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-05-31 |
| 1245895838 | Dinamarie Reilly | Counselor | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-05-08 |
| 1902369739 | William Joseph Robinson | Social Worker | 591 Lakehurst Rd, Toms River, NJ 08755-8045 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501853 | Anthony Giallombardo Jr. | Optometrist | 864 Nj-37 W, Toms River, NJ 08755 | 2020-06-04 |
| 1720607120 | Smita Uma Jaggernauth | Pharmacist | Community Medical Center, 99 Route 37 W, Toms River, NJ 08755 | 2020-04-15 |
| 1356975486 | Ashley Victoria Damiano | Registered Nurse | 99 Nj Route 37, Toms River, NJ 08755 | 2020-02-27 |
| 1700410156 | Garden State Smiles Toms River | Dentist | 599 Nj 37#1, Toms River, NJ 08755 | 2020-02-25 |
| 1386116341 | Eihab Human Services New Jersey, Inc. | Case Management | 1000 Axl Rd., Apt. 1-101, Toms River, NJ 08755 | 2018-12-31 |
| 1114496825 | Sari Gottlieb Kornfield | Social Worker | Children's Specialized, 368 Lakehurst Road, Toms River, NJ 08755 | 2018-11-26 |
| 1538643580 | New Cell Centers | Clinic/Center | 780 Nj-37, #330, Toms River, NJ 08755 | 2018-09-16 |
| 1477047439 | Lovelife Family Counseling | Psychologist | 1563 Old Freehold Rd, Toms River, NJ 08755 | 2018-06-21 |
| 1396238499 | Melissa Renee Nickols | Physician Assistant | 99 Rout 37 West, Toms River, NJ 08755 | 2018-06-13 |
| 1740772953 | Abby Foma | Counselor | 368 Lakehurst Drive, Toms River, NJ 08755 | 2018-06-04 |
| Find all providers in zip 08755 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871346 | Ymca of Greater Monmouth County | Community/Behavioral Health | 55 Hyers St, Toms River, NJ 08753-7429 | 2020-08-14 |
| 1851902662 | Ymca of Greater Monmouth County | Community/Behavioral Health | 531 W Earl Ct, Toms River, NJ 08753-6882 | 2020-08-14 |
| 1396356069 | Ymca of Greater Monmouth County | Community/Behavioral Health | 50 Blue Jay Dr, Toms River, NJ 08755-8004 | 2020-08-14 |
| 1588275382 | Ymca of Greater Monmouth County | Community/Behavioral Health | 100 Silver Bay Rd, Toms River, NJ 08753-2539 | 2020-08-14 |
| 1346851318 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1517 Hooper Ave, Toms River, NJ 08753-2236 | 2020-08-13 |
| 1649881517 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1519 Hooper Ave, Toms River, NJ 08753-2236 | 2020-08-13 |
| 1053922013 | Ymca of Greater Monmouth County | Community/Behavioral Health | 173 Cedar Grove Rd, Toms River, NJ 08753-4399 | 2020-08-13 |
| 1285245225 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1759 New Hampshire Ave, Toms River, NJ 08755-2184 | 2020-08-13 |
| 1558972422 | Ymca of Greater Monmouth County | Community/Behavioral Health | 150 Intermediate North Way, Toms River, NJ 08753-2700 | 2020-08-13 |
| 1487265633 | Ymca of Greater Monmouth County | Community/Behavioral Health | 419 Dover Rd, Toms River, NJ 08757-5238 | 2020-08-12 |
| Find all providers in TOMS RIVER | ||||
| City | TOMS RIVER |
| Zip Code | 08755 |
Please comment or provide details below to improve the information on PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC..
| 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.