Active NPIOrganization

Marillac Behavioral Health

Social Worker, Clinical in Basking Ridge, New Jersey

NPI Number1104392604
Practice location
233 Mount Airy RD Ste 100, Basking Ridge, NJ 07920-2338
Fax
908-291-1212
Last updated
November 5, 2025

Marillac Behavioral Health is a healthcare organization based in Basking Ridge, NJ. Marillac Behavioral Health practices in Basking Ridge, NJ. The NPI Number for Marillac Behavioral Health is 1104392604. The current practice location address for Marillac Behavioral Health is 233 Mount Airy RD Ste 100, Basking Ridge, NJ 07920-2338 and can be reached out via phone at 908-280-1957 and via fax at 908-291-1212.

Provider Profile Details

NPI Number
1104392604
Provider Name
Marillac Behavioral Health
Provider Entity Type
Organization
Address
233 Mount Airy RD Ste 100, Basking Ridge, NJ 07920-2338
Phone Number
908-280-1957
Fax Number
908-291-1212
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Ms. Jennifer Lynne Stull, MSW, LCSW, CEDS · Owner/Psychotherapist · 908-280-1952
Provider Enumeration Date
October 23, 2018
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
233 Mount Airy RD Ste 100
Basking Ridge, NJ 07920-2338
Zip
07920-2338
Phone Number
908-280-1957
Fax Number
908-291-1212
Basking Ridge, NJ 07920Get directions →

Provider Business Mailing Address Details

Address
233 Mount Airy RD Ste 100
Basking Ridge, NJ 07920-2338
City
Basking Ridge
State
NJ
Zip
07920-2338
Phone Number
908-280-1957
Fax Number
908-291-1212

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marillac Behavioral Health?

The NPI number of Marillac Behavioral Health is 1104392604. It was assigned on October 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Marillac Behavioral Health?

Marillac Behavioral Health is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Marillac Behavioral Health practice?

The practice location is 233 Mount Airy RD Ste 100, Basking Ridge, NJ 07920-2338. The office can be reached at 908-280-1957 (phone) or 908-291-1212 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104392604 directly on the NPPES registry website.

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