Active NPI
Psychiatric and Behavioral Health Care LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Holly, NJ
National Provider Identifier
1487222709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PSYCHIATRIC AND BEHAVIORAL HEALTH CARE LLC
- Practice address
- 555 High St
Mount Holly, NJ 08060-1045 - Phone
- (732) 986-1971
- NPI assigned
- Jun 14, 2021
- Last updated
- Mar 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adeoluwa Adeyemo, APN
- Title
- President
- Phone
- (732) 986-1971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
555 High St
Mount Holly, NJ 08060-1045
Mailing address
PO Box 1223
Burlington, NJ 08016-0823
Phone (732) 986-1971
National Provider Directory
National Provider DirectoryLocations
555 High St
Mount Holly, NJ 08060
Phone (732) 986-1971
Practitioners & affiliated clinicians
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.
-
- Psychiatry Physician
- Penndel, PA
- NPI 1285209536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679788800000",
"number": "1487222709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1223",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080160823",
"telephone_number": "732-986-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HIGH ST",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601045",
"telephone_number": "732-986-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC AND BEHAVIORAL HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2023-03-26",
"certification_date": "2023-03-26",
"status": "A",
"authorized_official_last_name": "ADEYEMO",
"authorized_official_first_name": "ADEOLUWA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-986-1971",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.