Progressive Behavioral Healthcare, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04312200 Issued in NJ

Legal business name

PROGRESSIVE BEHAVIORAL HEALTHCARE, LLC

Practice address

520 Main St
Toms River, NJ 08753-7444

Phone

(732) 557-4422

Fax

(732) 557-4422

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Manley, MSWNPI 1063601557

Title

Owner

Phone

(732) 557-4422

Specialties & licenses 1

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Deborah J Manley, MSW

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1063601557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457382186",
    "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": "087537444",
            "telephone_number": "732-557-4422",
            "fax_number": "732-557-4422"
        },
        {
            "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": "087537444",
            "telephone_number": "732-557-4422",
            "fax_number": "732-557-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-557-4422",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04312200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3156670",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "327640",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Priestley, C.N.M.
• Thomas Michael Prin, CADC
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• Gary M Prisand, DMD
• Progressive Anesthesia Concepts
• Jana Lee Prokop, M.A., CCC-SLP
• Promed Preferred Az PLLC
• Promed Preferred MD Professional Corporation
• Promed Preferred NJ P.C.
• Promed Preferred Oh LLC

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.