Refresh New Jersey Psych Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REFRESH NEW JERSEY PSYCH HEALTH LLC

Practice address

2290 W County Line Rd
Jackson, NJ 08527-2267

Phone

(610) 544-2110

Fax

(941) 460-5599

NPI assigned

Jul 22, 2020

Last updated

Oct 19, 2023By 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

Stacy Cloyd

Title

Secretary

Phone

(904) 605-4986

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Amanda Stacey Bronson, PSY.D.

  • Psychologist
  • Andover, MA
  • NPI 1043591167
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1750999066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "941-363-0878",
            "fax_number": "941-460-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272267",
            "telephone_number": "610-544-2110",
            "fax_number": "941-460-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH NEW JERSEY PSYCH HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.healthcare4ppl.com/medical-group/new-jersey/jackson/robert-white-llc-0345489431.html",
            "affiliation": "N",
            "address_1": "2290 W County Line Rd",
            "city": "Jackson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085272267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Ragheb, DDS
• Rajeev K Raghu, OD
• Christina A Rallo Daniels, MS, LPC
• Marlene Ramos
• Rapid Care USA PC
• Edward Thomas Regan, BC-HIS,ACA
• Moshe Reich, FNP
• Sprinca Devorah Reich, LSW
• Kimberly Reinert
• Amanda Revilak, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.