Active NPI
Samba Behavioral Health at Peachtree
- Adult Mental Health Clinic/Center
- Norcross, GA
National Provider Identifier
1083426332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SAMBA BEHAVIORAL HEALTH AT PEACHTREE
- Practice address
- 155 Technology Pkwy Ste 400
Norcross, GA 30092-2969 - Phone
- (732) 642-1610
- NPI assigned
- Jan 23, 2025
- 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
- Joshua Bamberger
- Title
- Ceo
- Phone
- (732) 642-1610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
155 Technology Pkwy Ste 400
Norcross, GA 30092-2969
Mailing address
250 Cedarbridge Ave Ste 290
Lakewood, NJ 08701-4236
Phone (732) 642-1610
National Provider Directory
National Provider DirectoryLocations
250 Cedarbridge Ave
Ste 290
Lakewood, NJ 08701
Phone (908) 312-1423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1083426332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CEDARBRIDGE AVE STE 290",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014236",
"telephone_number": "732-642-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 TECHNOLOGY PKWY STE 400",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922969",
"telephone_number": "732-642-1610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMBA BEHAVIORAL HEALTH AT PEACHTREE",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "BAMBERGER",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-642-1610"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.