NPIMap

Organization Active NPI

Family Care Connections, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, NJ
National Provider Identifier
1780812446
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
37F100162900 Issued in NJ
Legal business name
FAMILY CARE CONNECTIONS, LLC
Practice address
44 Cooper St
Suite 6
Woodbury, NJ 08096-4640
Phone
(856) 579-7303
Fax
(856) 579-7298
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Bruce E. Betner, PH.D., LMFT
Title
President/Ceo
Phone
(856) 340-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 37F100162900 NJ Primary

Addresses

Primary practice location

44 Cooper St
Suite 6
Woodbury, NJ 08096-4640

Mailing address

44 Cooper St
Suite 6
Woodbury, NJ 08096-4640
Phone (856) 579-7303

Other identifiers 3

IdentifierTypeStateIssuer
0474771MedicaidNJ
0493198MedicaidNJ
0442283MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Family Care Connections LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1780812446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COOPER ST",
            "address_2": "SUITE 6",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964640",
            "telephone_number": "856-579-7303",
            "fax_number": "856-579-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COOPER ST",
            "address_2": "SUITE 6",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964640",
            "telephone_number": "856-579-7303",
            "fax_number": "856-579-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BETNER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-340-2528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37F100162900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474771",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493198",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442283",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.