NPIMap

Organization Active NPI

Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
National Provider Identifier
1093873556
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000326 Issued in NJ
Legal business name
ATLANTICARE BEHAVIORAL HEALTH, INC.
Practice address
120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone
(609) 561-7911
NPI assigned
Dec 5, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ms. Julie Drew
Title
Executive Director
Phone
(609) 645-7601

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Community/Behavioral Health Agency 251S00000X NU
Community/Behavioral Health Agency 251S00000X 40005-06-04 NJ
Community/Behavioral Health Agency 251S00000X 2000326 NJ Primary

Addresses

Primary practice location

120 S White Horse Pike
Hammonton, NJ 08037-1804

Mailing address

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

Other practice location 1

13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone (609) 348-1161

Other identifiers 1

IdentifierTypeStateIssuer
0437867MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000016 NJ Part B Supplier - Clinic/Group Practice 3476450354 Receives reassigned benefits from 84 practitioners
3 other NPIs on this enrollment
Practice locations: Atlantic City, NJ; Egg Harbor Township, NJ; Egg Harbor TWP, NJ; Egg Harbow TWP, NJ; Galloway, NJ; Hammonton, NJ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Mental Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

400 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-0648

Practitioners & affiliated clinicians

Practitioners 143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1093873556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD",
            "address_2": "SUITE 301",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-272-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371804",
            "telephone_number": "609-561-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 N Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084013512",
            "country_code": "US",
            "telephone_number": "609-348-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTICARE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-645-7601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40005-06-04",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437867",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.