PREFERRED BEHAVIORAL HEALTH OF NJ LCSC (NPI# 1780869412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780869412 |
Entity Type | Organization |
Organization Name | PREFERRED BEHAVIORAL HEALTH OF NJ LCSC |
Practice Address |
700 Airport Road Preferred Behaviroal Health of Nj Lakewood NJ 08701 |
Mailing Address |
415 Carey Street Lcsc Lakewood NJ 08701 |
Practice Telephone | 7323674700 |
Practice Fax Number | 7323642253 |
Mailing Telephone | 7329016001 |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |
Authorized Official Name | WILLIAM SETTE (CEO) |
Authorized Official Telephone | 7324581700 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | PREFERRED BEHAVIORAL HEALTH OF NJ |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
20302-15-04 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0029807 | 05 |
Street Address |
700 AIRPORT ROAD PREFERRED BEHAVIROAL HEALTH OF NJ |
City | LAKEWOOD |
State | NJ |
Zip Code | 08701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811050826 | Lisette Salguero | Social Worker | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2006-12-19 |
1326593286 | Courtney Wuss | Nurse Practitioner | 700 Airport Road, Lakewood, NJ 08701 | 2016-08-22 |
1750618054 | Soroh Wolk | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-11-06 |
1962640524 | David Seegert | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-02-04 |
1730327867 | David Grandcolas | Counselor | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2009-01-28 |
1316150212 | Jed Klein | Social Worker | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2007-05-07 |
1194856690 | Michael Burke | Social Worker | 700 Airport Road, Preferred Behavioral Health of Nj, Lakewood, NJ 08701 | 2007-03-08 |
1699818690 | Judith Defrancesco | Counselor | 700 Airport Road, Preferred Behavioral Health of Nj Ccmrs, Lakewood, NJ 08701 | 2007-02-15 |
1952442352 | Julia A Hallberg | Counselor | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2007-02-09 |
1467592253 | Patricia Fonseca | Counselor | 700 Airport Road, Preferred Behavioral Health, Lakewood, NJ 08701 | 2007-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
Find all providers in zip 08701 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1225677123 | Silvercare Agency LLC | Clinic/Center | 1483 E Spruce St, Lakewood, NJ 08701-5444 | 2019-12-26 |
1306484225 | Silver Care Agency LLC | Clinic/Center | 105 Carasaljo Dr, Lakewood, NJ 08701-2311 | 2019-12-11 |
1093351827 | Silver Care Agency LLC | Clinic/Center | 725 Vassar Ave, Lakewood, NJ 08701-6908 | 2019-11-27 |
1700422953 | Silver Care Agency LLC | Clinic/Center | 1 E 13th St, Lakewood, NJ 08701-1912 | 2019-11-22 |
1073170510 | Preferred Behavioral Health of Nj | Clinic/Center | 725 Airport Rd Ste 2b, Lakewood, NJ 08701-5968 | 2019-05-21 |
1073076501 | Jade Recovery Inc | Clinic/Center | 255 S Routt St Ste 265, Lakewood, CO 80228-2271 | 2019-04-11 |
1073004131 | Lakewest Dbt Center LLC | Clinic/Center | 15711 Madison Ave Ste 102, Lakewood, OH 44107-5655 | 2018-05-24 |
1295237212 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1200 River Ave Ste 9d, Lakewood, NJ 08701-5657 | 2018-03-06 |
Find all providers in LAKEWOOD |
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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.