Organization Active NPI

Atlanticare Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Egg Harbor Township, NJ
National Provider Identifier
1063931830
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
400051904 Issued in NJ
Legal business name
ATLANTICARE BEHAVIORAL HEALTH, INC
Practice address
501 Scarborough Dr FL 3
Egg Harbor Township, NJ 08234-4897
Phone
(609) 646-5142
Fax
(609) 645-7343
NPI assigned
Sep 13, 2017
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTICARE BEHAVIORAL HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Trish Helms
Title
Director, Information Management
Phone
(609) 484-6417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 400051904 NJ Primary

Addresses

Primary practice location

501 Scarborough Dr FL 3
Egg Harbor Township, NJ 08234-4897

Mailing address

6550 Delilah Rd Ste 301
Egg Harbor Township, NJ 08234-5102
Phone (609) 272-8580

Other identifiers 1

IdentifierTypeStateIssuer
0004804MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Atlanticare Behav HLTH Inc18 organizations share this tax ID, including this one
Part of
Atlanticare Behav HLTH Inc

Other organizations with this tax ID 17

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

View all 17

Locations

501 Scarborough Dr
Fl 3
Egg Harbor Township, NJ 08234
Phone (609) 645-7600

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1063931830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD STE 301",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-272-8580",
            "fax_number": "609-645-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SCARBOROUGH DR FL 3",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344897",
            "telephone_number": "609-646-5142",
            "fax_number": "609-645-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTICARE BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "DIRECTOR, INFORMATION MANAGEMENT",
        "authorized_official_telephone_number": "609-484-6417"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "400051904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.