Serv Behavioral Health System

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SERV BEHAVIORAL HEALTH SYSTEM

Practice address

777 Bloomfield Ave
Clifton, NJ 07012-1242

Phone

(973) 594-0125

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Bernard Langdon Moore Jr.

Title

Peer Recovery Support

Phone

(862) 304-5709

Specialties & licenses 1

Addresses

Tax ID family

Serv Behavioral Health System2 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.

• Serv Behavioral Health System, Inc.

  • Peer Specialist
  • Clifton, NJ
  • NPI 1174289540
  NPD tax ID

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1649936907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV BEHAVIORAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "LANGDON",
        "authorized_official_title_or_position": "PEER RECOVERY SUPPORT",
        "authorized_official_telephone_number": "862-304-5709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self Counseling LLC
• Eugene Selim, P.T.
• Edith L Selzer, LCSW
• Seniorcare Rehab, LLC
• Kathrin Sandra Serrao, M.D.
• Serv Behavioral Health System, Inc.
• Serv Behavioral Health System, Inc.
• Serv Behavioral Health Systems
• Serv Behavioral Health Systems
• Serv Centers of New Jersey, Inc

• Peer Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.