St George Behavioral Care, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ST GEORGE BEHAVIORAL CARE, INC

Practice address

2366 St George Avenue
Rahway, NJ 07065

Phone

(732) 381-5700

Fax

(732) 381-5827

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia F Breda

Title

Office Manager

Phone

(732) 381-5700

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ranjit Mitra, MD

  • Psychiatry Physician
  • Rahway, NJ
  • NPI 1417096942
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1043375843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 ST GEORGE AVENUE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-381-5700",
            "fax_number": "732-381-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 ST GEORGE AVENUE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-381-5700",
            "fax_number": "732-381-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE BEHAVIORAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BREDA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-381-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS",
            "identifier": "726030000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "334239",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyoung J Son, MD
• Miri Song, DPT
• Raeesa Ashfaq Soomar
• Speech & Swallow Matters LLC
• Anne-Marie Spricigo, LCSW
• Jillian Stabert, LPC
• Stanford Angels Clear Mind and Wellness LLC
• Stations Cab
• Alyssa Steele
• Diane C. Strickland, RN, APN

• Psychiatry Physician in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.