Typhanie Bates
Individual provider Active NPI Community/Behavioral Health Agency · Sewell, NJ
NPI 1710470588 · NPPES record last updated Jun 7, 2018
Key facts
- NPI
- 1710470588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1 Neptune Dr N
Sewell, NJ 08080-2126 - Phone
- (856) 582-3900
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archway Programs, Inc. | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1 Neptune Dr N
Sewell, NJ 08080-2126
Mailing address
1 Neptune Dr N
Sewell, NJ 08080-2126
Phone (856) 582-3900
Other providers in Sewell, NJ
- John Thomas Barbagiovanni
- Will G. Barnes
- George A Barth
- Brenda Bartkovsky
- Julie A Bateman
- Parminder Bath Sohal
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Heather Marie Baye
All providers in Sewell, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.