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PINNICLE BEHAVIORAL HEALTH LLC NPI 1285953976


NPI Information

NPI: 1285953976
Provider Name: PINNICLE BEHAVIORAL HEALTH, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
2911 ROUTE 88
SUITE E8
POINT PLEASANT, NJ
ZIP 08742
Phone: (732) 295-1008
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PINNICLE BEHAVIORAL HEALTH, LLC is a prescribing (medical) psychologist in Point Pleasant, NJ. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PINNICLE BEHAVIORAL HEALTH, LLC NPI is 1285953976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2911 ROUTE 88
SUITE E8
POINT PLEASANT, NJ
ZIP 08742-871
Phone: (732) 295-1008
Fax: (732) 899-5733

The provider's authorized official is Jayanthi Periasamy .
The authorized official title is Doctor and has the following contact phone number (732) 295-1008.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.


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
1103TP0016XPsychologistPrescribing (Medical)25MA07322300NEW JERSEYYes

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
1879207ZAJ1OTHERNEW JERSEYMEDICARE PTAN - CHOWDHURY AZAM, MD
2058676AJ1OTHERNEW JERSEYMEDICARE PTAN - JAYANTHI PERIASAMY, MD

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: 5/5/2024

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