Support Care Behavioral Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SUPPORT CARE BEHAVIORAL SERVICES

Practice address

13 Wisteria Dr Apt 2C
Fords, NJ 08863-1112

Phone

(848) 234-1791

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By 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

Apair Ismail

Title

Bcba

Phone

(848) 234-1791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1811763162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WISTERIA DR APT 2C",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631112",
            "telephone_number": "848-234-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WISTERIA DR APT 2C",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631112",
            "telephone_number": "848-234-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CARE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "APAIR",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "848-234-1791"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Fords, NJ
• Providers in Fords, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.