NPIMap

Organization Active NPI

Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Egg Harbor Township, NJ
National Provider Identifier
1417200015
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
40005-31-10A Issued in NJ
Legal business name
ATLANTICARE BEHAVIORAL HEALTH, INC.
Practice address
2511 Fire Rd Ste B10
Egg Harbor Township, NJ 08234-5655
Phone
(609) 404-0060
Fax
(609) 272-8311
NPI assigned
Oct 19, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Julie Drew, LCSW
Title
Ceo
Phone
(609) 645-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 40005-31-10A NJ Primary

Addresses

Primary practice location

2511 Fire Rd Ste B10
Egg Harbor Township, NJ 08234-5655

Mailing address

6550 Delilah Rd
Egg Harbor Township, NJ 08234-5102
Phone (609) 272-8580

Other practice location 1

201 Tilton Rd
Suite B10
Pleasantville, NJ 08232-3745
Phone (609) 404-1974

Other identifiers 1

IdentifierTypeStateIssuer
8819106MedicaidNJ

National Provider Directory

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

Other organizations with this tax ID 17

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

View all 17

Locations

2511 Fire Rd
Ste B10
Egg Harbor Twp, NJ 08234
Phone (609) 404-0060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1417200015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345102",
            "telephone_number": "609-272-8580",
            "fax_number": "609-645-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 FIRE RD STE B10",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345655",
            "telephone_number": "609-404-0060",
            "fax_number": "609-272-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Tilton Rd",
            "address_2": "Suite B10",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NJ",
            "postal_code": "082323745",
            "country_code": "US",
            "telephone_number": "609-404-1974",
            "fax_number": "609-645-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTICARE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-645-7601",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40005-31-10A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8819106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.