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
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER MENTAL & BEHAVIORAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Premier MNTL Behav SVCS6 organizations share this tax ID, including this one
Part of
Premier MNTL Behav SVCS

Other organizations with this tax ID 5

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "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.