Signature Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SIGNATURE BEHAVIORAL HEALTH LLC

Practice address

2670 Yorktown Blvd
Brick, NJ 08723

Phone

(732) 255-9102

Fax

(732) 255-9034

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Mihir Patel

Title

Manager

Phone

(732) 642-7641

Specialties & licenses 1

Addresses

Other names 1

• Community Resource Center Doing business as

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1124501325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 WOODLAND AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201081",
            "telephone_number": "732-642-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 YORKTOWN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-255-9102",
            "fax_number": "732-255-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MIHIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-642-7641"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shorrock Gardens Care Center, Inc.
• Christine Shu, MD
• Namra Shueib, MD
• Sandhya Shukla, MD
• Shiza Siddiqui
• Sanjay Sikand, M.D.
• Jenna Silvestri
• Jenna Marie Silvia
• Brian Simek, PT, DPT
• Danielle Simms

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brick, NJ
• Providers in Brick, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.