Organization Active NPI

Samba Behavioral Health at Peachtree

  • Adult Mental Health Clinic/Center
  • Norcross, GA
National Provider Identifier
1083426332
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.