NPIMap

Organization Active NPI

South Jersey Behavioral Health Resources Incorporated

  • Community/Behavioral Health Agency
  • Magnolia, NJ
National Provider Identifier
1437378379
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
403010205 Issued in NJ
Legal business name
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Practice address
212 Madison Ave E
Magnolia, NJ 08049-1409
Phone
(856) 541-1700
Fax
(856) 309-9716
NPI assigned
Apr 25, 2007
Reactivated
Jul 23, 2008
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Debbie Chisolm, MA,MSW,LCSW,LPC,LCADNPI 1518120351
Title
Executive Director
Phone
(215) 370-1497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 403010205 NJ Primary
In Home Supportive Care Agency 253Z00000X 403010348 NJ
Mental Illness Community Based Residential Treatment Facility 320800000X 40301D050041 NJ
Mental Illness Community Based Residential Treatment Facility 320800000X 40301D050240 NJ

Addresses

Primary practice location

212 Madison Ave E
Magnolia, NJ 08049-1409

Mailing address

2500 McClellan Ave Ste 300
Pennsauken, NJ 08109-0001
Phone (856) 361-1123

Other practice location 1

614A Cherry St
Camden, NJ 08103-2321
Phone (856) 361-1100

Other practice location 2

2500 McClellan Ave Ste 300
Pennsauken, NJ 08109-0001
Phone (856) 361-1100

Other practice location 3

555 Spruce St
Camden, NJ 08103-2134
Phone (856) 361-1100

Other identifiers 8

IdentifierTypeStateIssuer
403010205OtherNJDMHS
0083909MedicaidNJ
0548481MedicaidNJ
40301D050041OtherNJDMHAS LICENSE
7477007MedicaidNJ
403010348OtherNJDMHAS LICENSE
0523780MedicaidNJ
40301D050240OtherNJDMHAS

National Provider Directory

National Provider Directory
Tax ID family
South Jersey Behavioral Health Resources Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

555 Spruce St
Camden, NJ 08103
Phone (856) 361-2736

Practitioners & affiliated clinicians

Practitioners 2

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1437378379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MCCLELLAN AVE STE 300",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081090001",
            "telephone_number": "856-361-1123",
            "fax_number": "856-488-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MADISON AVE E",
            "city": "MAGNOLIA",
            "state": "NJ",
            "postal_code": "080491409",
            "telephone_number": "856-541-1700",
            "fax_number": "856-309-9716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614A Cherry St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081032321",
            "country_code": "US",
            "telephone_number": "856-361-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 McClellan Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081090001",
            "country_code": "US",
            "telephone_number": "856-361-1100",
            "fax_number": "856-488-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081032134",
            "country_code": "US",
            "telephone_number": "856-361-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "deactivation_date": "2008-05-22",
        "reactivation_date": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CHISOLM",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-370-1497",
        "authorized_official_credential": "MA,MSW,LCSW,LPC,LCAD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "403010205",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "403010348",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "40301D050041",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "40301D050240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHS",
            "identifier": "403010205",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083909",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0548481",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS LICENSE",
            "identifier": "40301D050041",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7477007",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS LICENSE",
            "identifier": "403010348",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523780",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS",
            "identifier": "40301D050240",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.