Organization Active NPI

Guiding Light Behavioral Health, Inc.

  • Adult Mental Health Clinic/Center
  • Neptune, NJ
National Provider Identifier
1053468462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GUIDING LIGHT BEHAVIORAL HEALTH, INC.
Practice address
1930 Heck Ave
BLDG. 3, Suite 1
Neptune, NJ 07753-4476
Phone
(732) 774-0911
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Howard C Lundy
Title
VP
Phone
(732) 531-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NJ Primary

Addresses

Primary practice location

1930 Heck Ave
BLDG. 3, Suite 1
Neptune, NJ 07753-4476

Mailing address

PO Box 368
Oakhurst, NJ 07755-0368
Phone (732) 531-2626

Other identifiers 1

IdentifierTypeStateIssuer
6968309MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Guiding Light Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053468462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077550368",
            "telephone_number": "732-531-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HECK AVE",
            "address_2": "BLDG. 3, SUITE 1",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534476",
            "telephone_number": "732-774-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "732-531-2626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6968309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.