Organization Active NPI

Accordia Behavioral Health LLC

  • Child & Adolescent Psychiatry Physician
  • Camden, NJ
National Provider Identifier
1184217580
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ACCORDIA BEHAVIORAL HEALTH LLC
Practice address
2 Leonard Ave
Camden, NJ 08105-2404
Phone
(609) 227-9225
Fax
(856) 666-0159
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Mr. Anthony Odey Ogon Sr., B.SC
Title
Chief Executive Officer
Phone
(609) 227-9225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

2 Leonard Ave
Camden, NJ 08105-2404

Mailing address

453 Dorchester Dr
Riverside, NJ 08075-1369
Phone (609) 227-9225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1184217580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DORCHESTER DR",
            "city": "RIVERSIDE",
            "state": "NJ",
            "postal_code": "080751369",
            "telephone_number": "609-227-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEONARD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052404",
            "telephone_number": "609-227-9225",
            "fax_number": "856-666-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORDIA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "OGON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ODEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "609-227-9225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "B.SC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.