Organization Active NPI

Christophe Clinical Therapeutic Services, LLC

Doing business as Community Clinical Services

  • Community/Behavioral Health Agency
  • Brick, NJ
National Provider Identifier
1063872497
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05631600 Issued in NJ
Legal business name
CHRISTOPHE CLINICAL THERAPEUTIC SERVICES, LLC
Doing business as
Community Clinical Services
Practice address
1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496
Phone
(201) 746-5279
NPI assigned
Feb 26, 2016
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Vladimir Christophe, LCSW, LCADCNPI 1184082539
Title
Owner
Phone
(201) 746-5279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05631600 NJ Primary

Addresses

Primary practice location

1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496

Mailing address

1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496
Phone (201) 746-5279

Other names 1

  • Community Clinical Services Doing business as

National Provider Directory

National Provider Directory

Locations

1140 Burnt Tavern Rd
Ste 2C
Brick, NJ 08724
Phone (201) 746-5279

Practitioners & affiliated clinicians

Practitioners 1

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": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1063872497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "201-746-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "201-746-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHE CLINICAL THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHE",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-746-5279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05631600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.