Doc Octavius Mental Health Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DOC OCTAVIUS MENTAL HEALTH SERVICES

Practice address

542 S Broadway Apt H19
Pennsville, NJ 08070-2675

Phone

(914) 261-6532

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By 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

Mr. Octavius Lamont Brown, LPC, LCADCNPI 1811291560

Title

Chief Executive

Phone

(914) 261-6532

Specialties & licenses 3

Addresses

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.

• Octavius L Brown, MSCC, LPC, LCADC

  • Professional Counselor
  • Pennsville, NJ
  • NPI 1811291560

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1780238428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 S BROADWAY APT H19",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702675",
            "telephone_number": "914-261-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 S BROADWAY APT H19",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702675",
            "telephone_number": "914-261-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC OCTAVIUS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "OCTAVIUS",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "914-261-6532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashoke K Deb, MD
• Devereux Foundation (Devereux Advanced Behavioral Health)
• Jill Dezenhall, RPH
• Giovanna Marie Dilauri, LAC, NCC
• Marco Dimichele, RPH
• DRS Leinen and Lapalomento, LLC
• Geoffrey C Ellington, D.C.
• Christi Erdman, MA, LPC
• Charles Arthur Evans, DMD LLC
• Valentin L Fagel, M.D.

• Professional Counselor in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.