NPIMap

Organization Active NPI

CPC Behavioral Healthcare, Inc

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1295201119
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CPC BEHAVIORAL HEALTHCARE, INC
Practice address
22 Court St
Freehold, NJ 07728-1700
Phone
(732) 780-7387
Fax
(732) 780-5157
NPI assigned
Oct 18, 2018
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Stella Santora
Title
VP, Cio
Phone
(732) 935-2260

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

22 Court St
Freehold, NJ 07728-1700

Mailing address

10 Industrial Way E Ste 108
Eatontown, NJ 07724-3332
Phone (732) 982-3851

National Provider Directory

National Provider Directory
Tax ID family
CPC Behavioral Healthcare Inc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1295201119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 108",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "732-982-3851",
            "fax_number": "732-389-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COURT ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281700",
            "telephone_number": "732-780-7387",
            "fax_number": "732-780-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SANTORA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "VP, CIO",
        "authorized_official_telephone_number": "732-935-2260"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.