NPIMap

Organization Active NPI

Optimum Behavioral Health

  • Group Psychotherapy Psychologist
  • Bayonne, NJ
National Provider Identifier
1154539450
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
OPTIMUM BEHAVIORAL HEALTH
Practice address
1137 Avenue C
Bayonne, NJ 07002-3313
Phone
(201) 339-3371
Fax
(201) 339-3376
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Ms. Ann Tedeschi, LCSW
Title
Owner
Phone
(201) 339-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

1137 Avenue C
Bayonne, NJ 07002-3313

Mailing address

1137 Avenue C
Bayonne, NJ 07002-3313
Phone (201) 339-3371

Other identifiers 2

IdentifierTypeStateIssuer
60054OtherNJMENTAL HEALTH
375617OtherNJMANAGE CARE

National Provider Directory

National Provider Directory
Tax ID family
Optimum Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1154539450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023313",
            "telephone_number": "201-339-3371",
            "fax_number": "201-339-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023313",
            "telephone_number": "201-339-3371",
            "fax_number": "201-339-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "TEDESCHI",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-339-3371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "60054",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGE CARE",
            "identifier": "375617",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.