NPIMap

Organization Active NPI

Omni Behavioral Health Solutions, LLC

  • Mental Health Counselor
  • Freehold, NJ
National Provider Identifier
1619486404
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00382200 Issued in NJ
Legal business name
OMNI BEHAVIORAL HEALTH SOLUTIONS, LLC
Practice address
90 W Main St
Freehold, NJ 07728-2144
Phone
(732) 766-6067
Fax
(732) 791-1408
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Dr. Mark Flescher, PH.D.
Title
Ceo
Phone
(732) 766-6067

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 37PC00382200 NJ Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 35SI00268300 NJ
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

90 W Main St
Freehold, NJ 07728-2144

Mailing address

PO Box 6902
Freehold, NJ 07728-6902
Phone (732) 766-6067

National Provider Directory

National Provider Directory
Tax ID family
Omni Behavioral Health Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1619486404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6902",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077286902",
            "telephone_number": "732-766-6067",
            "fax_number": "732-791-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-766-6067",
            "fax_number": "732-791-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI BEHAVIORAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "FLESCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-766-6067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00382200",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00268300",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.