NPIMap

Organization Active NPI

Behavioral Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, NJ
National Provider Identifier
1003824624
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NC04592400 Issued in NJ
Legal business name
BEHAVIORAL HEALTHCARE LLC
Practice address
18 Church St
Suite 201
Newton, NJ 07860-1756
Phone
(973) 940-0116
Fax
(973) 940-0104
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathleen A. Malon, RN, MSN, APN,CNPI 1285672915
Title
Operating Manager
Phone
(973) 940-0116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NC04592400 NJ Primary

Addresses

Primary practice location

18 Church St
Suite 201
Newton, NJ 07860-1756

Mailing address

PO Box 65
Newton, NJ 07860-0065
Phone (973) 940-0116

Other identifiers 1

IdentifierTypeStateIssuer
7227701MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1003824624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078600065",
            "telephone_number": "973-940-0116",
            "fax_number": "973-940-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHURCH ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601756",
            "telephone_number": "973-940-0116",
            "fax_number": "973-940-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "MALON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "973-940-0116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, APN,C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC04592400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7227701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.