NPIMap

Organization Active NPI

Atlanticare Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Galloway, NJ
National Provider Identifier
1336668342
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
400052805 Issued in NJ
Legal business name
ATLANTICARE BEHAVIORAL HEALTH, INC
Practice address
400 Chris Gaupp Dr
Galloway, NJ 08205-4486
Phone
(609) 404-0648
Fax
(609) 645-7343
NPI assigned
Sep 12, 2017
Organization subpart
Yes
Parent organization
ATLANTICARE BEHAVIORAL HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Patricia Helms
Title
Director, Informaiton Management
Phone
(609) 484-6417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 400052805 NJ Primary

Addresses

Primary practice location

400 Chris Gaupp Dr
Galloway, NJ 08205-4486

Mailing address

6550 Delilah Rd Ste 301
Egg Harbor Township, NJ 08234-5102
Phone (609) 272-7806

Other identifiers 1

IdentifierTypeStateIssuer
7466404MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Mental Health18 organizations share this tax ID, including this one
Part of
Atlantic Mental Health

Other organizations with this tax ID 17

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

View all 17

Locations

400 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-0648

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1336668342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD STE 301",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-272-7806",
            "fax_number": "609-645-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054486",
            "telephone_number": "609-404-0648",
            "fax_number": "609-645-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTICARE BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR, INFORMAITON MANAGEMENT",
        "authorized_official_telephone_number": "609-484-6417"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "400052805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7466404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.