Monmouth Behavioral Therapy Group, Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MONMOUTH BEHAVIORAL THERAPY GROUP, CORP

Doing business as

The fort adult day program

Practice address

1000 Sanger Ave
Oceanport, NJ 07757-1241

Phone

(732) 687-2418

Fax

(732) 865-7187

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE FORT ADULT DAY PROGRAMAs reported in NPPES

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

Authorized official

Name

Anna Nicolas

Title

Owner

Phone

(732) 687-2418

Specialties & licenses 1

Addresses

Other names 1

• The fort adult day program Doing business as

Tax ID family

Monmouth Behavioral Therapy Group Corp2 organizations share this tax ID, including this one

Part of

Monmouth Behavioral Therapy Group Corp

Other organizations with this tax ID 1

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

• Monmouth Behavioral Therapy Group, LLC

  • Behavior Analyst
  • Red Bank, NJ
  • NPI 1508179763
  NPD tax ID

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1689362469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571241",
            "telephone_number": "732-687-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SANGER AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571241",
            "telephone_number": "732-687-2418",
            "fax_number": "732-865-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH BEHAVIORAL THERAPY GROUP, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FORT ADULT DAY PROGRAM",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-687-2418"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The fort adult day program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey C McPherson, M.A., CCC-SLP
• Michael Amoroso Mdpa (First Medical Management)
• Sandra L Miller, P.T.
• Christina Miranda, COTA
• Rebecca Florence Mizrahi, APN
• Michelle Leclerc Murphy, PT
• Robert Nugent, MD
• Keri Olesinski, OTR/L
• Our Team Fitness LLC
• Virginia Pawlikowski

• Behavior Analyst in Oceanport, NJ
• Providers in Oceanport, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.