Active NPI
Grandular Health Services LLC
- Behavior Analyst
- Gibbsboro, NJ
National Provider Identifier
1497692156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- GRANDULAR HEALTH SERVICES LLC
- Practice address
- 146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018 - Phone
- (609) 669-0097
- Fax
- (856) 875-9608
- NPI assigned
- Apr 30, 2026
- 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
- Deborah Dickerson
- Title
- Ceo
- Phone
- (609) 669-0097
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Behavior Analyst | 103K00000X | Primary | ||
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Neurodevelopmental Disabilities Physician | 2084P0005X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018
Mailing address
146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018
Phone (609) 669-0097
National Provider Directory
National Provider Directory- Tax ID family
- Grandular Health Services LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Gibbsboro, NJ
- NPI 1285465435
-
- Clinical Social Worker
- Sicklerville, NJ
- NPI 1710844741
-
- Community/Behavioral Health Agency
- Gibbsboro, NJ
- NPI 1891628103
-
- Day Training/Habilitation Specialist
- Sicklerville, NJ
- NPI 1831686443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1497692156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 S LAKEVIEW DR STE 202",
"city": "GIBBSBORO",
"state": "NJ",
"postal_code": "080261018",
"telephone_number": "609-669-0097",
"fax_number": "856-875-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 S LAKEVIEW DR STE 202",
"city": "GIBBSBORO",
"state": "NJ",
"postal_code": "080261018",
"telephone_number": "609-669-0097",
"fax_number": "856-875-9608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDULAR HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-30",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-669-0097"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gibbsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.