NPIMap

Organization Active NPI

Centers for Behavioral Success Inc

  • Community/Behavioral Health Agency
  • Marlton, NJ
National Provider Identifier
1477879617
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0041181 Issued in NJ
Legal business name
CENTERS FOR BEHAVIORAL SUCCESS INC
Practice address
1051 Tuckerton Rd
Marlton, NJ 08053-2665
Phone
(973) 409-0771
Fax
(973) 409-0748
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
David Garagozzo
Title
Director
Phone
(973) 409-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0041181 NJ Primary

Addresses

Primary practice location

1051 Tuckerton Rd
Marlton, NJ 08053-2665

Mailing address

PO Box 475
Marlton, NJ 08053-0475
Phone (973) 409-0771

Other identifiers 1

IdentifierTypeStateIssuer
0041181MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Centers for Behavioiral Success Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1477879617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080530475",
            "telephone_number": "973-409-0771",
            "fax_number": "973-409-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 TUCKERTON RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532665",
            "telephone_number": "973-409-0771",
            "fax_number": "973-409-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR BEHAVIORAL SUCCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "GARAGOZZO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-409-0771"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "0041181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041181",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.