Regroup Behavioral Health Services,PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REGROUP BEHAVIORAL HEALTH SERVICES,PC

Practice address

1314 Park Ave
Suite 7
Plainfield, NJ 07060-3253

Phone

(908) 755-3392

Fax

(908) 755-4768

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Princetta A Edwards, LCSWNPI 1215081385

Title

Psychotherapist President

Phone

(908) 755-3392

Specialties & licenses 2

Addresses

Other names 1

• Regroup Princetta's Behavioral Health Services, LLC Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Princetta Ann Edwards, LCSW LIC CLINICAL SO

  • Clinical Social Worker
  • Plainfield, NJ
  • NPI 1215081385
  NPD (past) Authorized official
• Muhammad A Mirza, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1881677409
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1164542718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070230512",
            "telephone_number": "908-755-3392",
            "fax_number": "908-755-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "address_2": "SUITE 7",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603253",
            "telephone_number": "908-755-3392",
            "fax_number": "908-755-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGROUP BEHAVIORAL HEALTH SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "PRINCETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST PRESIDENT",
        "authorized_official_telephone_number": "908-755-3392",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regroup Princetta's Behavioral Health Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tejal Rana, O.D
• Sean Randall
• Rapid Relief Medical Group LLC
• James Kidangan Rappai, MD
• Jacqueline Frances Reccoppa
• Regroup With Princetta'S Behavioral Health Services,LLC
• Restore Ark Healthcare LLC
• Rha Health Services NJ LLC
• Crystal Robinson
• Isabel Rodriguez, LSW

• Clinical Social Worker in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.