Behavior Wellness Center and Associates, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

SI02555 Issued in NJ

Legal business name

BEHAVIOR WELLNESS CENTER AND ASSOCIATES, LLC

Practice address

15 Engle St
Suite 203
Englewood, NJ 07631-2936

Phone

(201) 894-1224

Fax

(201) 894-4720

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lucien Duquette, PHDNPI 1679637466

Title

Psychologist Owner

Phone

(201) 894-1224

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lucien Laurier Duquette, PHD

  • Psychologist
  • Englewood, NJ
  • NPI 1679637466
  NPD (past) Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1720408099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "address_2": "SUITE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "201-894-1224",
            "fax_number": "201-894-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "address_2": "SUITE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "201-894-1224",
            "fax_number": "201-894-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR WELLNESS CENTER AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "DUQUETTE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "201-894-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI02555",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "SI02555",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "SI02555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviam Isleny Becerra Rivera, M.D
• Debra Sharon Becker Weinstock, PHYSICAL THERAPIST
• Kenny Bedoya, RPH
• Christine Bedrock, CRNA
• Behavior Analysis and Support Services
• Christopher Francis Bekampis, DO
• Charmaine Antoinette Bell, BA/MAT
• Rachel Bellows, PA-C
• Roseann Benanti, NP-C
• Sofia Raquel Benavides, MSN, FNP-BC

• Psychologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.