Active NPI
CBS Specialized Programs
- Community/Behavioral Health Agency
- Hackettstown, NJ
National Provider Identifier
1073848099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0162159
- 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, 2009
- 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
- Henry Madamba, MS, LPC
- Title
- Director
- Phone
- (908) 854-0164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162159 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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
- Theresa A Cassano, DMD
- Tammy Marie Castles, FNP-BC
- Christopher Castro, D.O.
- Victor Catania, M.D.
- David Cataquet, MD
- Center for Assessment and Treatment, a New Jersey Non Profit Corp
- Center for Family Services, Inc.
- Center for Family Services, Inc.
- Center for Humanistic Change of NJ, Inc.
- Center for Humanistic Change of NJ, Inc.
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.