NPIMap

Organization Active NPI

Liberty Behavioral Health Associates

  • Psychiatry Physician
  • Jersey City, NJ
National Provider Identifier
1811076607
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LIBERTY BEHAVIORAL HEALTH ASSOCIATES
Practice address
395 Grand St
Ambulatory Care Building
Jersey City, NJ 07302-4238
Phone
(201) 915-2600
Fax
(201) 369-6301
NPI assigned
Nov 3, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Ritu Chandak, M.D.NPI 1033218631
Title
Chairman, Dept of Behavioral Health
Phone
(201) 915-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

395 Grand St
Ambulatory Care Building
Jersey City, NJ 07302-4238

Mailing address

395 Grand St
Ambulatory Care Building
Jersey City, NJ 07302-4238
Phone (201) 915-2600

National Provider Directory

National Provider Directory

Locations

550 Newark Ave
#2
Jersey City, NJ 07306
Phone (201) 795-9155

110B Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 223-4222

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1811076607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 GRAND ST",
            "address_2": "AMBULATORY CARE BUILDING",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024238",
            "telephone_number": "201-915-2600",
            "fax_number": "201-369-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 GRAND ST",
            "address_2": "AMBULATORY CARE BUILDING",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024238",
            "telephone_number": "201-915-2600",
            "fax_number": "201-369-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "CHANDAK",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "CHAIRMAN, DEPT OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "201-915-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.