Behavioral Health Group, LLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

4992 Issued in NJ

Legal business name

BEHAVIORAL HEALTH GROUP, LLC

Practice address

757 Teaneck Rd
Teaneck, NJ 07666-4241

Phone

(201) 833-4100

Fax

(201) 837-1926

NPI assigned

Jan 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeane Rajacic-Poppe, PH.DNPI 1598039083

Title

Psychologist

Phone

(201) 833-4100

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jeane Rajacic-Poppe, PH.D

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1598039083

  Addiction (Substance Use Disorder), NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1417378720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664241",
            "telephone_number": "201-833-4100",
            "fax_number": "201-837-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664241",
            "telephone_number": "201-833-4100",
            "fax_number": "201-837-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "RAJACIC-POPPE",
        "authorized_official_first_name": "JEANE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-833-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598039083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Battle Jr., OTD, OTR/L
• Brian J Bauer, MD
• Deborah A Baum, OTR
• Steven Becker, MD
• Amy Begel
• Jake Bejarano
• Omar Ezequiel Bellorin Marin, MD
• Anthony Paul Bells, P.A-C
• Luz Benavides, D.M.D.
• Peter Bence, DMD

• Addiction (Substance Use Disorder) Psychologist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Addiction (Substance Use Disorder) Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.