Banyan Tree Mental Health Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

35S100391200 Issued in NJ

Legal business name

BANYAN TREE MENTAL HEALTH SERVICES

Practice address

19A Dellwood Lane
Somerset, NJ 08873

Phone

(732) 247-9505

Fax

(973) 324-3641

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By 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

Dr. Loran C. Vocaturo, EDD, ABPP

Title

President/Psychologist

Phone

(732) 735-3925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1356588719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6776",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088166776",
            "telephone_number": "732-247-9505",
            "fax_number": "973-324-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19A DELLWOOD LANE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-247-9505",
            "fax_number": "973-324-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN TREE MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "VOCATURO",
        "authorized_official_first_name": "LORAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-735-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, ABPP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "35S100391200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.