Organization Active NPI

Comprehensive Behavioral Healthcare,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paterson, NJ
National Provider Identifier
1124738018
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTHCARE,INC.
Practice address
680 Broadway Ste 2D
Paterson, NJ 07514-1525
Phone
(201) 646-0333
Fax
(201) 296-6319
NPI assigned
Dec 1, 2022
Organization subpart
Yes
Parent organization
COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Ms. Dana Jaworski
Title
Dir of Consumer Financial Services
Phone
(201) 775-6336

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

680 Broadway Ste 2D
Paterson, NJ 07514-1525

Mailing address

25 E Salem St FL 2
Hackensack, NJ 07601-7433
Phone (201) 646-0333

Other practice location 1

1373 Broad St Ste 312
Clifton, NJ 07013-4200
Phone (201) 646-0333

National Provider Directory

National Provider Directory
Tax ID family
CBH13 organizations share this tax ID, including this one
Part of
CBH

Other organizations with this tax ID 12

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

Locations

1373 Broad St
Ste 312
Clifton, NJ 07013
Phone (201) 646-0333

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cbhcare/r4/

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1124738018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST FL 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017433",
            "telephone_number": "201-646-0333",
            "fax_number": "201-296-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 2D",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141525",
            "telephone_number": "201-646-0333",
            "fax_number": "201-296-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 Broad St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070134200",
            "country_code": "US",
            "telephone_number": "201-646-0333",
            "fax_number": "201-296-6319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIR OF CONSUMER FINANCIAL SERVICES",
        "authorized_official_telephone_number": "201-775-6336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.