Organization Active NPI

The Birdhouse Behavioral Heath LLC

  • Community/Behavioral Health Agency
  • Glassboro, NJ
National Provider Identifier
1194622472
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE BIRDHOUSE BEHAVIORAL HEATH LLC
Practice address
765 Delsea Dr N Ste 107
Glassboro, NJ 08028-1435
Phone
(856) 217-9976
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Kylie Gibson
Title
Owner
Phone
(856) 217-9976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

765 Delsea Dr N Ste 107
Glassboro, NJ 08028-1435

Mailing address

202 Park Blvd Apt 303
Cherry Hill, NJ 08002-3473
Phone (856) 217-9976

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1194622472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PARK BLVD APT 303",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023473",
            "telephone_number": "856-217-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 DELSEA DR N STE 107",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281435",
            "telephone_number": "856-217-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BIRDHOUSE BEHAVIORAL HEATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-217-9976"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.