Active NPI
Optum Behavioral Care of New Jersey P C
Doing business as Psychological and Behavioral Health Services
- Counseling Psychologist
- Shrewsbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- OPTUM BEHAVIORAL CARE OF NEW JERSEY P C
- Doing business as
- Psychological and Behavioral Health Services
- Practice address
- 595 Shrewsbury Ave Ste 205
Shrewsbury, NJ 07702-4195 - Phone
- (732) 675-3451
- NPI assigned
- Nov 13, 2023
- Last updated
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Stacey Bronson
- Title
- Authorized Official
- Phone
- (978) 222-3121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
595 Shrewsbury Ave Ste 205
Shrewsbury, NJ 07702-4195
Mailing address
11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (609) 594-4900
Other names 1
- Psychological and Behavioral Health Services
National Provider Directory
National Provider Directory- Tax ID family
- Optum Behavioral Care of New Jersey PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Spring Behavioral Health of NJ
- Counseling Psychologist
- Toms River, NJ
- NPI 1770357527
-
- Clinical Social Worker
- Toms River, NJ
- NPI 1831083393
Practitioners & affiliated clinicians
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.
-
- Psychologist
- Andover, MA
- NPI 1043591167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1760256515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 OPTUM CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442503",
"telephone_number": "609-594-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 SHREWSBURY AVE STE 205",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024195",
"telephone_number": "732-675-3451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM BEHAVIORAL CARE OF NEW JERSEY P C",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "BRONSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "STACEY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "978-222-3121"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Psychological and Behavioral Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.