NPIMap

Organization Active NPI

Institute for Behavioral Health and Developmental Disabilities Inc

  • Voluntary or Charitable Agency
  • Maplewood, NJ
National Provider Identifier
1811356934
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES INC
Practice address
1980 Springfield Ave
4L
Maplewood, NJ 07040-3440
Phone
(888) 604-2433
Fax
(862) 930-4862
NPI assigned
Feb 17, 2016
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Damon K Ceaser
Title
Ceo
Phone
(888) 604-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

1980 Springfield Ave
4L
Maplewood, NJ 07040-3440

Mailing address

400 Broadacres Dr Ste 260
Bloomfield, NJ 07003-3156
Phone (888) 604-2433

Other identifiers 1

IdentifierTypeStateIssuer
0490270MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Institute for Behavioral Health and Developmental Disabilities5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

400 Broadacres Dr
Ste 260
Bloomfield, NJ 07003

1980 Springfield Ave
Ste 4L
Maplewood, NJ 07040
Phone (888) 604-2433

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1811356934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR STE 260",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "888-604-2433",
            "fax_number": "862-930-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SPRINGFIELD AVE",
            "address_2": "4L",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403440",
            "telephone_number": "888-604-2433",
            "fax_number": "862-930-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-604-2433"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490270",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.