The 4Walls Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0450137733 Issued in NJ

Legal business name

THE 4WALLS FOUNDATION

Practice address

2511 Hamilton Dr
Voorhees, NJ 08043-2642

Phone

(856) 650-6556

NPI assigned

Feb 16, 2017

Last updated

Feb 16, 2017By 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. Jason A Brice Sr., M.ED, L.A.C.NPI 1588953376

Title

Member

Phone

(856) 650-6556

Specialties & licenses 1

Addresses

Tax ID family

The 4Walls Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The 4Walls Foundation

  • Mental Health Counselor
  • Voorhees, NJ
  • NPI 1124984828
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The 4Walls Foundation

  • Mental Health Counselor
  • Voorhees, NJ
  • NPI 1124984828
  NPPES parent name

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.

• Jason Ali Brice Sr., M.ED

  • Mental Health Counselor
  • Cherry Hill, NJ
  • NPI 1588953376
  NPD Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1801335310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 HAMILTON DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432642",
            "telephone_number": "856-650-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 HAMILTON DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432642",
            "telephone_number": "856-650-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 4WALLS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-650-6556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.ED, L.A.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "0450137733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teemu Tha, M.D.
• Avinash Sai Thalasila, MD
• Naw Susan Than
• Garima Thapar, MD
• The 4Walls Foundation
• The Center for Neurological and Neurodevelopmental Health LLC (NeurAbilities Healthcare)
• The Center for Neurological and Neurodevelopmental Health, LLC (CNNH)
• The Huddle Child and Adolescent Wellness
• The Lakewood of Voorhees Operator (The Voorhees Care & Rehabilitation Center)
• The OB/GYN Specialist, LLC

• Community/Behavioral Health Agency in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.