Organization Active NPI

CBS Specialized Programs

  • Community/Behavioral Health Agency
  • Hackettstown, NJ
National Provider Identifier
1073848099
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0162159 Issued in NJ
Legal business name
CBS SPECIALIZED PROGRAMS
Practice address
117 Grand Ave
2ND Floor
Hackettstown, NJ 07840-2128
Phone
(908) 854-0164
Fax
(908) 765-0291
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Henry Madamba, MS, LPC
Title
Director
Phone
(908) 854-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0162159 NJ Primary

Addresses

Primary practice location

117 Grand Ave
2ND Floor
Hackettstown, NJ 07840-2128

Mailing address

PO Box 475
Marlton, NJ 08053-0475
Phone (908) 854-0164

Other identifiers 1

IdentifierTypeStateIssuer
0162159MedicaidNJ

National Provider Directory

National Provider Directory

Locations

117 Grand Ave
Fl 2
Hackettstown, NJ 07840
Phone (908) 854-0164

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1073848099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080530475",
            "telephone_number": "908-854-0164",
            "fax_number": "908-765-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GRAND AVE",
            "address_2": "2ND FLOOR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402128",
            "telephone_number": "908-854-0164",
            "fax_number": "908-765-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBS SPECIALIZED PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-854-0164",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "0162159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162159",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.