Guiding Light Behavioral Health, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000357-09 Issued in NJ

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

Fax

(732) 774-4061

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Howard C Lundy

Title

VP

Phone

(732) 531-2626

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Guiding Light Drug and Alcohol Treatment Services Other name

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.

• Guiding Light Behavioral Health, Inc.

  • Adult Mental Health Clinic/Center
  • Neptune, NJ
  • NPI 1053468462
  NPD tax ID

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1053640201",
    "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",
            "fax_number": "732-531-8377"
        },
        {
            "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",
            "fax_number": "732-774-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000357-09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212393",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212326",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guiding Light Drug and Alcohol Treatment Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Idan Grossmann, M.D
• Steven Ronald Gruendling, C.R.N.A.
• David Ignatius Grzybacz
• Guided Spectrum-a Behavioral Therapy Group LLC
• Guiding Light Behavioral Health, Inc.
• Kelly Anne Gunteski, APN
• Ashna Gupta, MD
• Debra Gussman, M.D.
• Kathryn Elizabeth Gutkin, CRNA
• Hackensack Meridian Ambulatory Care, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.