Active NPI
Guiding Light Behavioral Health, Inc.
- Adult Mental Health Clinic/Center
- Neptune, NJ
National Provider Identifier
1053468462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6968309 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Guiding Light Behavioral Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Neptune, NJ
- NPI 1053640201
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.