THE COMMUNITY YMCA (NPI# 1912442575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912442575 |
| Entity Type | Organization |
| Organization Name | THE COMMUNITY YMCA |
| Practice Address |
201 Broad St Matawan NJ 07747-3226 |
| Mailing Address |
166 Main St Matawan NJ 07747-3104 |
| Practice Telephone | 7322909040 |
| Practice Fax Number | 7325660433 |
| Mailing Telephone | 7322909040 |
| Mailing Fax Number | 7325660433 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | LEEANN WAGNER (DIRECTOR) |
| Authorized Official Telephone | 7322909040 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100051204 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0517682 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387025 | The Community Ymca | Community/Behavioral Health | 230 Cooper Rd, Red Bank, NJ 07701-6010 | 2019-07-11 |
| 1548708787 | The Community Ymca | Community/Behavioral Health | 376 Maple Pl, Keyport, NJ 07735-1148 | 2017-02-08 |
| 1033655113 | The Community Ymca | Community/Behavioral Health | 610 Beers St, Hazlet, NJ 07730-1405 | 2017-01-12 |
| 1063958221 | The Community Ymca | Community/Behavioral Health | 350 Indiana Ave, Long Branch, NJ 07740-6120 | 2017-01-12 |
| 1699210252 | The Community Ymca | Community/Behavioral Health | 201 Monmouth Ave, Long Branch, NJ 07740-7008 | 2017-01-05 |
| 1811432479 | The Community Ymca | Community/Behavioral Health | 231 Wilbur Ray Ave, Long Branch, NJ 07740-7021 | 2017-01-05 |
| 1457896045 | The Community Ymca | Community/Behavioral Health | 280 Park Ave, Freehold, NJ 07728-2006 | 2017-01-05 |
| Street Address |
201 BROAD ST |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124533708 | Jessica Wone | Social Worker | 201 Broad St, Matawan, NJ 07747-3226 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| 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 |
|---|---|---|---|---|
| 1053882597 | Ymca of Greater Monmouth County | Community/Behavioral Health | 170 Ravine Dr, Matawan, NJ 07747-2880 | 2018-12-10 |
| 1538663414 | Ymca of Greater Monmouth County | Community/Behavioral Health | 5 Ayrmont Ln, Matawan, NJ 07747-1222 | 2018-03-23 |
| 1154788057 | Our Special Place, Inc. | Community/Behavioral Health | 62 Broad St, Matawan, NJ 07747-2534 | 2016-01-22 |
| 1053878793 | Access Autism Consulting LLC | Community/Behavioral Health | 70 Crest Cir, Matawan, NJ 07747-2601 | 2019-03-01 |
| 1447786488 | Rebecca's Hope Therapy | Community/Behavioral Health | 199 Main St, Suite 8, Matawan, NJ 07747-3187 | 2017-05-11 |
| 1548791965 | Ymca of Greater Monmouth County | Community/Behavioral Health | 166 Main St, Matawan, NJ 07747-3104 | 2017-03-27 |
| 1841738085 | Ymca of Greater Monmouth County | Community/Behavioral Health | 450 Atlantic Ave, Matawan, NJ 07747-2326 | 2017-02-08 |
| 1033433834 | Stress Care of New Jersey, LLC | Community/Behavioral Health | 4122 Route 516, Matawan, NJ 07747-7031 | 2010-03-23 |
| 1376600221 | The Community Ymca Family Services | Community/Behavioral Health | 166 Main St, Matawan, NJ 07747-3104 | 2007-01-02 |
| 1548326069 | Ymca of Greater Monmouth County | Community/Behavioral Health | 166 Main St, Matawan, NJ 07747-3104 | 2006-12-29 |
| Find all providers in MATAWAN | ||||
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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.