NPIMap

CPC Integrated Health, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Red Bank, NJ

NPI 1366497356 · NPPES record last updated May 5, 2026

Key facts

NPI
1366497356
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
CPC INTEGRATED HEALTH, INC.
Practice address
270 Route 35
Red Bank, NJ 07701-5920
Phone
(732) 842-2000
Fax
(732) 224-0688
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

Name
Leeann Wagner
Title
Chief Information Officer
Phone
(732) 935-2247

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 33

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

View all 33

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 104

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040518000822 NJ Part B Supplier - Clinic/Group Practice 3971593161 Receives reassigned benefits from 98 practitioners
1 other NPI on this enrollment
Practice locations: Freehold, NJ; Howell, NJ; Matawan, NJ; Neptune City, NJ; Red Bank, NJ

National Provider Directory

Tax ID family
CPC Integrated Health Inc (34 organizations share this tax ID)

Locations

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

4539 US Highway 9
Howell, NJ 07731
Phone (732) 901-5553

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

270 Route 35
Red Bank, NJ 07701-5920

Mailing address

10 Industrial Way E Ste 108
Suite 108
Eatontown, NJ 07724-3332
Phone (732) 935-2220

Other identifiers

IdentifierTypeStateIssuer
0017752MedicaidNJ
8835306MedicaidNJ
4547306MedicaidNJ
8378509MedicaidNJ
8819408MedicaidNJ
0012025MedicaidNJ
0085502MedicaidNJ
7651104MedicaidNJ
0017175MedicaidNJ
0012017MedicaidNJ
8378207MedicaidNJ
0012068MedicaidNJ
0099805MedicaidNJ

Other names

  • CPC Mental Health Service, Inc Former legal business name

Other providers in Red Bank, NJ

All providers in Red Bank, NJ · Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

Sources for this page

Verify at the official NPI Registry.