PATRICIA FONSECA CADC NPI 1467592253

NPI Information

NPI: 1467592253
Provider Name: PATRICIA FONSECA, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
700 AIRPORT ROAD
PREFERRED BEHAVIORAL HEALTH
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 367-4700
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Patricia Fonseca, CADC is an addiction (substance use disorder) counselor in Lakewood, NJ. Patricia Fonseca, CADC NPI is 1467592253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 AIRPORT ROAD
PREFERRED BEHAVIORAL HEALTH
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 367-4700
Fax: (732) 364-2253

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/9/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37CA00045200	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	526788	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	PBH GROUP #
2	0029807	MEDICAID	NEW JERSEY

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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