NPIMap

Organization Active NPI

Comprehensive Behavioral Healthcare, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Kearny, NJ
National Provider Identifier
1730694688
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.
Practice address
187 Kearny Ave
Kearny, NJ 07032-2437
Phone
(201) 998-8882
Fax
(201) 296-6319
NPI assigned
Dec 13, 2017
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Ms. Dana Jaworski
Title
Billing Supervisor
Phone
(201) 935-3322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

187 Kearny Ave
Kearny, NJ 07032-2437

Mailing address

25 E Salem St
Hackensack, NJ 07601-7427
Phone (201) 646-0333

Other identifiers 1

IdentifierTypeStateIssuer
8369101MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
CBH13 organizations share this tax ID, including this one
Part of
CBH

Other organizations with this tax ID 12

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

Locations

25 E Salem St
Hackensack, NJ 07601
Phone (201) 546-5839

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1730694688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SALEM ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017427",
            "telephone_number": "201-646-0333",
            "fax_number": "201-296-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "201-998-8882",
            "fax_number": "201-296-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "201-935-3322",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8369101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.