Shore Mental Healthcare, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05486700 Issued in NJ

Legal business name

SHORE MENTAL HEALTHCARE, LLC

Practice address

520 Main St
Toms River, NJ 08753-7420

Phone

(732) 551-2051

Fax

(732) 551-2051

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Mary Ann Sengstack, MSW, LCSWNPI 1023344314

Title

Owner/Psychotherapist

Phone

(732) 551-2051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Mary Ann Sengstack, MSW, LCSW

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1023344314

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1396183992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537420",
            "telephone_number": "732-551-2051",
            "fax_number": "732-551-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537420",
            "telephone_number": "732-551-2051",
            "fax_number": "732-551-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MENTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "SENGSTACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-551-2051",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05486700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Hematology-Oncology Practice,LLC
• Shore Hyperbaric Limited Liability Company
• Shore Internists LLC
• Shore Medical Associates PA
• Shore Medical Specialists
• Shore Neurology, P.a.
• Shore Neurology, PA
• Shore Optical
• Shore Orthodontics PA
• Shore Orthodontics, PA

• All providers in Toms River, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.