NPIMap

Organization Active NPI

Beacon Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • West Berlin, NJ
National Provider Identifier
1649659426
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BEACON BEHAVIORAL HEALTH SERVICES
Practice address
154 Cooper Rd
Suite 801
West Berlin, NJ 08091-9128
Phone
(856) 767-1565
Fax
(856) 767-4615
NPI assigned
May 26, 2015
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. Nicholas McClary, MSW
Title
Executive Director
Phone
(856) 767-1565

Specialties & licenses 1

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

Addresses

Primary practice location

154 Cooper Rd
Suite 801
West Berlin, NJ 08091-9128

Mailing address

154 Cooper Rd
Suite 801
West Berlin, NJ 08091-9128
Phone (856) 767-1565

National Provider Directory

National Provider Directory
Tax ID family
Beacon Behavioral Health Services2 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.

Locations

154 Cooper Rd
Ste 801
West Berlin, NJ 08091
Phone (856) 767-1565

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1649659426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COOPER RD",
            "address_2": "SUITE 801",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919128",
            "telephone_number": "856-767-1565",
            "fax_number": "856-767-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 COOPER RD",
            "address_2": "SUITE 801",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919128",
            "telephone_number": "856-767-1565",
            "fax_number": "856-767-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MCCLARY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-767-1565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.