Clear Waters Behavioral Health PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR WATERS BEHAVIORAL HEALTH PC

Practice address

615 Hope Rd Ste 5B
Tinton Falls, NJ 07724-1273

Phone

(732) 210-0509

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Priti Kumar

Title

Billing Supervisor

Phone

(732) 210-0509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1477072106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD STE 5B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "732-210-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATERS BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "732-210-0509"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chan Chua, PT
• Curtis G Cianci
• Michael Joseph Cisar, D.M.D
• Risa Clay, LCADC
• Adriana Clayton
• Clear Waters Health and Wellness PC
• Cocco Enterprises Inc
• Sara Codispoti
• Jason D Cohen, MD
• Kris Colabella, LCSW

• Health Service Clinic/Center in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.