NPIMap

Organization Active NPI

Institute for Behavioral Health and Developmental Disabilities Inc

  • Developmentally Disabled Services Day Training Agency
  • Paramus, NJ
National Provider Identifier
1407375876
Registry record updated Sep 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES INC
Practice address
304 E Midland Ave Lowr Level
Paramus, NJ 07652-5535
Phone
(888) 604-2433
Fax
(888) 604-2433
NPI assigned
Sep 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2017

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

Authorized official

Name
Mr. Damon K Ceaser
Title
President and Ceo
Phone
(888) 604-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NJ Primary

Addresses

Primary practice location

304 E Midland Ave Lowr Level
Paramus, NJ 07652-5535

Mailing address

304 E Midland Ave Lowr Level
Paramus, NJ 07652-5535
Phone (888) 604-2433

Other identifiers 1

IdentifierTypeStateIssuer
0490270MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Institute for Behavioral Health and Developmental Disabilities5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

304 E Midland Ave
Lowr
Paramus, NJ 07652
Phone (888) 604-2433

NPI Registry JSON

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505520000000",
    "number": "1407375876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E MIDLAND AVE LOWR LEVEL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525535",
            "telephone_number": "888-604-2433",
            "fax_number": "888-604-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E MIDLAND AVE LOWR LEVEL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525535",
            "telephone_number": "888-604-2433",
            "fax_number": "888-604-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2017-09-16",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "888-604-2433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490270",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.