NPIMap

Organization Active NPI

Premier Mental & Behavioral Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brick, NJ
National Provider Identifier
1649958372
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Practice address
74 Brick Blvd FL 2
Brick, NJ 08723-7984
Phone
(732) 735-4256
NPI assigned
Jul 11, 2023
Organization subpart
Yes
Parent organization
PREMIER MENTAL & BEHAVIORAL SERVICES, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Alan Tunit
Title
Ceo
Phone
(732) 832-3444

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 4

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

Practitioners 15

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

View all 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20210804001637 NJ Part B Supplier - Clinic/Group Practice 6305240912 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eatontown, NJ

National Provider Directory

National Provider Directory
Tax ID family
Premier Mental Behavioral Services Inc (5 organizations share this tax ID)
Part of
Premier Mental Behavioral Services Inc

Locations

74 Brick Blvd
Fl 2
Brick, NJ 08723
Phone (732) 735-4256

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

74 Brick Blvd FL 2
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd FL 2
Brick, NJ 08723-7984
Phone (732) 735-4256

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2024.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1649958372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-735-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-735-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MENTAL & BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER MENTAL & BEHAVIORAL SERVICES, INC",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "TUNIT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-832-3444"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.