The Community YMCA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

100051604 Issued in NJ

Legal business name

THE COMMUNITY YMCA

Practice address

201 Monmouth Ave
Long Branch, NJ 07740-7008

Phone

(732) 290-9040

Fax

(732) 566-0433

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Leeann Wagner, LPC, LCADC

Title

Director

Phone

(732) 290-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Community YMCA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Community YMCA

  • Community/Behavioral Health Agency
  • Long Branch, NJ
  • NPI 1063958221
  NPD tax ID
• The Community YMCA

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1912442575
  NPD tax ID

Locations

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1699210252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473104",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONMOUTH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407008",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY YMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-290-9040",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "100051604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518549",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Opal Thakar, MD
• Milan Thapa, MD
• Diana W Thaung, MD
• The Arc of Monmouth
• The Community YMCA
• The Community YMCA
• Stephen Theccanat, M.D.
• Elizabeth Thomas, MD
• Kelly Ann Thompson
• Leah F Thompson

• Community/Behavioral Health Agency in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.