NPIMap

Organization Active NPI

Institute for Behavioral Health and Developmental Disabilities

  • Community/Behavioral Health Agency
  • Maplewood, NJ
National Provider Identifier
1659736841
Registry record updated Jan 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Practice address
1980 Springfield Ave
Suite 4L
Maplewood, NJ 07040-3440
Phone
(888) 604-2433
Fax
(862) 930-4862
NPI assigned
Dec 15, 2015
Last updated
Jan 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2016

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

Authorized official

Name
Mr. Damon K Ceaser
Title
President & Chief Executive Officer
Phone
(888) 604-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1980 Springfield Ave
Suite 4L
Maplewood, NJ 07040-3440

Mailing address

1980 Springfield Ave
Suite 4L
Maplewood, NJ 07040-3440
Phone (888) 604-2433

Other identifiers 1

IdentifierTypeStateIssuer
0490270MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Institute for Behavioral Health and Developmental Disabilities5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1980 Springfield Ave
Ste 4L
Maplewood, NJ 07040
Phone (888) 604-2433

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1659736841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SPRINGFIELD AVE",
            "address_2": "SUITE 4L",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403440",
            "telephone_number": "888-604-2433",
            "fax_number": "862-930-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SPRINGFIELD AVE",
            "address_2": "SUITE 4L",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403440",
            "telephone_number": "888-604-2433",
            "fax_number": "862-930-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "888-604-2433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490270",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.