Sunrise Detox Cherry Hill LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SUNRISE DETOX CHERRY HILL LLC

Practice address

1417 Brace Rd
Cherry Hill, NJ 08034-3524

Phone

(561) 318-4409

NPI assigned

Jul 21, 2015

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Stokes

Title

Ceo

Phone

(516) 318-4455

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Apr 23, 2024

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Tessandra Gulbranson

  • Family Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1891166849
  NPD
• Matthew Kaspar, APN

  • Family Nurse Practitioner
  • Mount Holly, NJ
  • NPI 1588948244
  NPD
• Robert White, DNP, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Howell, NJ
  • NPI 1740372606
  NPD
• David E. Wolff, M.D.

  • Psychiatry Physician
  • Eatontown, NJ
  • NPI 1699971200
  NPD
• Gregory Charles Bunt, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1063420057
  NPD
• Jonathan Kirkland Blauvelt, MA, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Holmdel, NJ
  • NPI 1679998918
  NPD (past)
• Theresa Marie Collins

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
  • NPI 1174389290
  NPD (past)
• Brianne Dandrea

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
  • NPI 1841921749
  NPD (past)
• Lakisha Delvalle

  • Psychiatric/Mental Health Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1164213112
  NPD (past)
• Harry Glenn Jr., CADC

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
  • NPI 1699532390
  NPD (past)
• Julie Moskowitz

  • Counselor
  • Cherry Hill, NJ
  • NPI 1982335147
  NPD (past)
• Amanda Mae Tabbita

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
  • NPI 1528799970
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1295110179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N FL 3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343524",
            "telephone_number": "561-318-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOX CHERRY HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-318-4455"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pearl Nonato Sumile
• Caitlin Summers, LPC
• Summit View Behavioral Healthcare
• Gengo Sunagawa, MD
• Sunlight Care LLC
• Sunshine Dental Assoc's PA
• Sunshine Healthcare
• Stephen H Sunshine, DDS
• Supportive Care of New Jersey, LLC
• Supportive Care, Inc.

• Mental Illness Community Based Residential Treatment Facility in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.