Active NPIOrganization

Northeast Behavioral Services, INC

Psychiatry & Neurology, Psychiatry in Somers Point, New Jersey

NPI Number1346604808
Practice location
421 Bethel RD, Somers Point, NJ 08244-2081
Fax
—
Last updated
April 11, 2016

Northeast Behavioral Services, INC is a healthcare organization based in Somers Point, NJ. Northeast Behavioral Services, INC practices in Somers Point, NJ. The NPI Number for Northeast Behavioral Services, INC is 1346604808 and holds a License No. 25MA04602100 (NJ). The current practice location address for Northeast Behavioral Services, INC is 421 Bethel RD, Somers Point, NJ 08244-2081 and can be reached out via phone at 615-567-7256.

Provider Profile Details

NPI Number
1346604808
Provider Name
Northeast Behavioral Services, INC
Provider Entity Type
Organization
Address
421 Bethel RD, Somers Point, NJ 08244-2081
Phone Number
615-567-7256
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
Yes
Parent Organization
David A Sack, MD Tn PC
Authorized Official
Cheryl Maplesden, CPC, CHC, CHPC · Director, Revenue Cycle · 615-510-3708
Other Names
Park Bench Professional (Doing Business As)
Provider Enumeration Date
April 11, 2016
Last Update Date
April 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 Bethel RD
Somers Point, NJ 08244-2081
Zip
08244-2081
Phone Number
615-567-7256
Somers Point, NJ 08244Get directions →

Provider Business Mailing Address Details

Address
Po Box 670521
Dallas, TX 75267-0521
City
Dallas
State
TX
Zip
75267-0521
Phone Number
615-567-7256

License Information

License Number (1)
25MA04602100
License State (1)
NJ
License Number (2)
26NJ00062700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
25MB06828200
License State (3)
NJ
Taxonomy (3)
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Northeast Behavioral Services, INC?

The NPI number of Northeast Behavioral Services, INC is 1346604808. It was assigned on April 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Northeast Behavioral Services, INC?

Northeast Behavioral Services, INC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA04602100.

Where does Northeast Behavioral Services, INC practice?

The practice location is 421 Bethel RD, Somers Point, NJ 08244-2081. The office can be reached at 615-567-7256 (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 1346604808 directly on the NPPES registry website.

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