Serv Behavioral Health System, Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SERV BEHAVIORAL HEALTH SYSTEM, INC.

Practice address

777 Bloomfield Ave
Clifton, NJ 07012-1242

Phone

(973) 594-0125

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Maximilian P Laurenzi

Title

Peer Recovery CPRS

Phone

(862) 304-5702

Specialties & licenses 1

Addresses

Tax ID family

Serv Behavioral Health System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Serv Behavioral Health System

  • Peer Specialist
  • Clifton, NJ
  • NPI 1649936907
  NPD tax ID

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1174289540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV BEHAVIORAL HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "LAURENZI",
        "authorized_official_first_name": "MAXIMILIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PEER RECOVERY CPRS",
        "authorized_official_telephone_number": "862-304-5702"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Selim, P.T.
• Edith L Selzer, LCSW
• Seniorcare Rehab, LLC
• Kathrin Sandra Serrao, M.D.
• Serv Behavioral Health System
• Serv Behavioral Health System, Inc.
• Serv Behavioral Health Systems
• Serv Behavioral Health Systems
• Serv Centers of New Jersey, Inc
• Serv Centers of New Jersey, Inc

• Peer Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.