Organization Active NPI

Cognitive and Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1568998540
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
25MA09550500 Issued in NJ
Legal business name
COGNITIVE AND BEHAVIORAL HEALTH LLC
Practice address
340 Mercer Loop
Jersey City, NJ 07302-3233
Phone
(646) 379-5927
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Imran A Jamil, MDNPI 1396056065
Title
Psychiatrist
Phone
(201) 918-2775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 25MA09550500 NJ Primary

Addresses

Primary practice location

340 Mercer Loop
Jersey City, NJ 07302-3233

Mailing address

142 Palisade Ave Ste 102
Jersey City, NJ 07306-1108
Phone (201) 918-2775

National Provider Directory

National Provider Directory

Locations

142 Palisade Ave
Ste 102
Jersey City, NJ 07306
Phone (201) 653-0506

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1568998540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE STE 102",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061108",
            "telephone_number": "201-918-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MERCER LOOP",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023233",
            "telephone_number": "646-379-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE AND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "201-918-2775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "25MA09550500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.