Organization Active NPI

The Bedrock Clinic & Research Center, Inc

  • Behavior Analyst
  • Bridgewater, NJ
National Provider Identifier
1760804694
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE BEDROCK CLINIC & RESEARCH CENTER, INC
Practice address
120 Finderne Ave
Bridgewater, NJ 08807-3670
Phone
(908) 392-4976
Fax
(484) 377-2100
NPI assigned
Jan 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mrs. Melissa Engasser, BCBANPI 1326377433
Title
Executive Director
Phone
(908) 392-4976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

120 Finderne Ave
Bridgewater, NJ 08807-3670

Mailing address

120 Finderne Ave
Bridgewater, NJ 08807-3670
Phone (908) 392-4976

National Provider Directory

National Provider Directory

Locations

904 Oak Tree Ave
Ste O
South Plainfield, NJ 07080
Phone (732) 646-8774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1760804694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FINDERNE AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073670",
            "telephone_number": "908-392-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FINDERNE AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073670",
            "telephone_number": "908-392-4976",
            "fax_number": "484-377-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEDROCK CLINIC & RESEARCH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "ENGASSER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-392-4976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.