MERIDIAN BEHAVIORAL HEALTH NPI 1770836025

NPI Information

  • NPI: 1770836025
  • Provider Name: MERIDIAN BEHAVIORAL HEALTH
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Other Name: PARK PLACE
  • CLIA Number: 31D2013974
  • Address: 1011 BOND ST
    ASBURY PARK, NJ
    ZIP 07712
  • Phone: (732) 869-2769

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NPI Details

MERIDIAN BEHAVIORAL HEALTH is an adult mental health clinic center in Asbury Park, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MERIDIAN BEHAVIORAL HEALTH NPI is 1770836025. The provider is registered as an organization entity type.
The provider Other Name Is Park Place.

The provider's business location address is:

1011 BOND ST
ASBURY PARK, NJ
ZIP 07712-939
Phone: (732) 869-2769
Fax: (732) 897-9541

The provider's authorized official is Susan M Affa .
The authorized official title is Social Worker/intake Coordinator and has the following contact phone number (732) 869-2769.

The CLIA number assigned to this NPI record is 31D2013974 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.

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
1261QM0850XClinic/CenterAdult Mental Health44SL05734800NEW JERSEYYes

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: 3/30/2025

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