SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI 1194946053

NPI Information

NPI: 1194946053
Provider Name: SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
400 MARKET ST
1ST FLOOR
CAMDEN, NJ
ZIP 08102
Phone: (856) 541-1700
Get Directions

SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED is a mental health (including community mental health center) clinic center in Camden, NJ. SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI is 1194946053. The provider is registered as an organization entity type.

The provider's business location address is:

400 MARKET ST
1ST FLOOR
CAMDEN, NJ
ZIP 08102-526
Phone: (856) 541-1700
Fax: (856) 541-1554

The provider's authorized official is Theresa C Wilson .
The authorized official title is President/ceo and has the following contact phone number (856) 361-1133.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		403010305	NEW JERSEY	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	403010904	NEW JERSEY	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	403010304	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0515752	MEDICAID	NEW JERSEY
2	7677308	OTHER	NEW JERSEY	WORKFORCE NJ
3	403010904	OTHER	NEW JERSEY	DMHAS LICENSE
4	7477007	MEDICAID	NEW JERSEY
5	403010304	OTHER	NEW JERSEY	DMHAS LICENSE
6	403010305	OTHER	NEW JERSEY	DMHS LICENSE
7	0041106	MEDICAID	NEW JERSEY
8	406010904	OTHER	NEW JERSEY	DMHAS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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