NPIMap

Organization Active NPI

Pinnicle Behavioral Health, LLC

  • Prescribing (Medical) Psychologist
  • Point Pleasant, NJ
National Provider Identifier
1285953976
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
25MA07322300 Issued in NJ
Legal business name
PINNICLE BEHAVIORAL HEALTH, LLC
Practice address
2911 Route 88
Suite E8
Point Pleasant, NJ 08742-2871
Phone
(732) 295-1008
Fax
(732) 899-5733
NPI assigned
May 20, 2010
Last updated
May 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Jayanthi Periasamy, M.D.NPI 1912966573
Title
Doctor
Phone
(732) 295-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 25MA07322300 NJ Primary

Addresses

Primary practice location

2911 Route 88
Suite E8
Point Pleasant, NJ 08742-2871

Mailing address

2911 Route 88
Suite E8
Point Pleasant, NJ 08742-2871
Phone (732) 295-1008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1285953976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ROUTE 88",
            "address_2": "SUITE E8",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "087422871",
            "telephone_number": "732-295-1008",
            "fax_number": "732-899-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROUTE 88",
            "address_2": "SUITE E8",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "087422871",
            "telephone_number": "732-295-1008",
            "fax_number": "732-899-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNICLE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "PERIASAMY",
        "authorized_official_first_name": "JAYANTHI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-295-1008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NJ",
            "license": "25MA07322300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.