Liberty Behavioral Health Associates

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

Organization subpart

No

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

Authorized official

Name

Ritu Chandak, M.D.

Title

Chairman, Dept of Behavioral Health

Phone

(201) 915-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael B. Jackson, M.D.

  • Psychiatry Physician
  • Hoboken, NJ
  • NPI 1073600896
  NPD (past)
• Anthony La Monaca, MD

  • Forensic Psychiatry Physician
  • Jersey City, NJ
  • NPI 1982794723
  NPD (past)
• David Benjamin Schnur, M.D.

  • Psychiatry Physician
  • Jersey City, NJ
  • NPI 1164501250
  NPD (past)
• Anthony Campo, M.D.

  • Psychiatry Physician
  • Wilton Manors, FL
  • NPI 1316965924
  NPD (past)
• Paul Garson, M.D.

  • Psychiatry Physician
  • Southampton, NY
  • NPI 1124034392
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7491808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qi Hong Li, PHARMD
• Tony Li, DPT
• Xiaoling Li, MD
• Liberty Ambulatory Surgery Center, LLC
• Liberty Anesthesia Associates LLC
• Liberty Career Service Inc
• Liberty Child and Adolescent Health Services
• Liberty Chiropractic and Physical Therapy
• Liberty Diagnostic Pathology PA
• Liberty Emergency Medical Associates LLC

• Psychiatry Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Psychiatry Physician in New Jersey

• 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.