Canterbury Behavioral Health PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CANTERBURY BEHAVIORAL HEALTH PC

Practice address

176 Palisade Avenue
Jersey City, NJ 07306-1196

Phone

(201) 795-8637

Fax

(201) 795-8223

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. George A Popko

Title

Evp / Cfo

Phone

(201) 795-8637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1821377136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "2ND FLOOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PALISADE AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061196",
            "telephone_number": "201-795-8637",
            "fax_number": "201-795-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERBURY BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "POPKO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP / CFO",
        "authorized_official_telephone_number": "201-795-8637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cancio
• Anthony Candela, PH.D.
• Nicole Cangelosi, DPT
• Michael Cannella, M.D.
• Ralph Cantada
• Canterbury Medical Associates-Critical Care PC
• Canterbury Medical Associates-Inpatient PC
• Canterbury Medical Associates, P.C.
• Edward Cantillo, LSW
• Colleen H Canyon, LCSW

• 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 Aug 4, 2011; 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.