Jack Baharlias, PSYCHOLOGIST ED D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1823 Issued in NJ

Practice address

1952 RT 22 E
American Institute for Counseling Inc
Bound Brook, NJ 08805

Phone

(732) 469-6444

Fax

(732) 469-6445

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Institute for Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bound Brook, NJ
  • NPI 1932228194
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457434904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 RT 22 E",
            "address_2": "AMERICAN INSTITUTE FOR COUNSELING INC",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-6444",
            "fax_number": "732-469-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 RT 22 E",
            "address_2": "AMERICAN INSTITUTE FOR COUNSELING INC",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-6444",
            "fax_number": "732-469-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHARLIAS",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST ED D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Asiegbulem
• Atalinder Singh Bindra Dental Inc (Amaltas Dental and Implant Center)
• Ricania Aunondieu
• Moises Emmanuel Azcona
• Mariper Babia, LCADC
• Sachpreet Bajaj, PHARMD
• Rebecca Balaguer
• Sajida Bandali, LSW
• Behavioral Health and Performance L.L.C
• Irvinder Bhatia, M.D.

• Psychologist in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.