Organization Active NPI

Guiding Star Psychiatric Services, P.C.

  • Psychiatry Physician
  • Phillipsburg, NJ
National Provider Identifier
1689707044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GUIDING STAR PSYCHIATRIC SERVICES, P.C.
Practice address
901 Coventry Dr
Phillipsburg, NJ 08865-1974
Phone
(610) 861-8836
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Benny Elizabeth Titus, M.D.NPI 1316923683
Title
President
Phone
(610) 861-8836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X NJ Primary

Addresses

Primary practice location

901 Coventry Dr
Phillipsburg, NJ 08865-1974

Mailing address

1 Tamzen Ter
Washington, NJ 07882-2484
Phone (610) 861-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071002000634 PA Part B Supplier - Clinic/Group Practice 6608961941 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA
O20090617000061 NJ Part B Supplier - Clinic/Group Practice 6608961941 Receives reassigned benefits from 1 practitioner
Practice locations: Green Brook, NJ; Washington, NJ

National Provider Directory

National Provider Directory

Locations

97 Greenbrook Rd
Green Brook, NJ 08812
Phone (732) 752-1616

2591 Baglyos Cir
Ste C50
Bethlehem, PA 18020
Phone (484) 821-0203

2031 Hay Ter
Ste 100
Easton, PA 18042
Phone (610) 253-9486

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689707044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMZEN TER",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822484",
            "telephone_number": "610-861-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651974",
            "telephone_number": "610-861-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING STAR PSYCHIATRIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-861-8836",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.