Organization Active NPI

Emerge Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1780185751
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMERGE BEHAVIORAL HEALTH LLC
Practice address
705 Birchfield Dr
Mount Laurel, NJ 08054-4013
Phone
(856) 258-7350
Fax
(856) 258-0622
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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

Authorized official

Name
Dr. Susanna Carew, PSY.D.NPI 1801242516
Title
Clinical Director
Phone
(856) 296-6273

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

705 Birchfield Dr
Mount Laurel, NJ 08054-4013

Mailing address

705 Birchfield Dr
Mount Laurel, NJ 08054-4013
Phone (856) 258-7350

Other names 1

  • Emerge Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

705 Birchfield Dr
Mount Laurel, NJ 08054
Phone (856) 258-7350

Practitioners & affiliated clinicians

Practitioners 1

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": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671840000000",
    "number": "1780185751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544013",
            "telephone_number": "856-258-7350",
            "fax_number": "856-258-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544013",
            "telephone_number": "856-258-7350",
            "fax_number": "856-258-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "856-296-6273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; 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.