Portum Behavioral Health
Clinic/Center, Mental Health (Including Community Mental Health Center) in Annandale, New Jersey
1336975259- Practice location
- 1465 Route 31 S Ste 1101-1102, Annandale, NJ 08801-3129
- Phone
- 551-306-4000
- Fax
- —
- Last updated
- June 16, 2026
Portum Behavioral Health is a healthcare organization based in Annandale, NJ. Portum Behavioral Health practices in Annandale, NJ. The NPI Number for Portum Behavioral Health is 1336975259. The current practice location address for Portum Behavioral Health is 1465 Route 31 S Ste 1101-1102, Annandale, NJ 08801-3129 and can be reached out via phone at 551-306-4000.
Provider Profile Details
- NPI Number
- 1336975259
- Provider Name
- Portum Behavioral Health
- Provider Entity Type
- Organization
- Address
- 1465 Route 31 S Ste 1101-1102, Annandale, NJ 08801-3129
- Phone Number
- 551-306-4000
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Adeena Jacobson · Owner · 917-882-2744
- Provider Enumeration Date
- September 9, 2024
- Last Update Date
- June 16, 2026
- Certification Date
- June 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1465 Route 31 S Ste 1101-1102
Annandale, NJ 08801-3129 - City
- Annandale
- State
- New Jersey
- Zip
- 08801-3129
- Phone Number
- 551-306-4000
Provider Business Mailing Address Details
- Address
- 1465 Route 31 S Ste 1101-1102
Annandale, NJ 08801-3129 - City
- Annandale
- State
- NJ
- Zip
- 08801-3129
- Phone Number
- 551-306-4000
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Portum Behavioral Health?
The NPI number of Portum Behavioral Health is 1336975259. It was assigned on September 9, 2024 and is currently active in the NPPES registry.
What is the specialty of Portum Behavioral Health?
Portum Behavioral Health is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Portum Behavioral Health practice?
The practice location is 1465 Route 31 S Ste 1101-1102, Annandale, NJ 08801-3129. The office can be reached at 551-306-4000 (phone).
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 1336975259 directly on the NPPES registry website.