Organization Active NPI

TJM Behavioral Health Services, LLC

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1821413196
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00341700 Issued in NJ
Legal business name
TJM BEHAVIORAL HEALTH SERVICES, LLC
Practice address
43 Spring St
Princeton, NJ 08542-6904
Phone
(609) 252-9718
Fax
(609) 252-0202
NPI assigned
Feb 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Thomas J. Morgan, PSY.D.NPI 1467615856
Title
Owner
Phone
60925297818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 35SI00341700 NJ Primary

Addresses

Primary practice location

43 Spring St
Princeton, NJ 08542-6904

Mailing address

43 Spring St
Princeton, NJ 08542-6904
Phone (609) 252-9718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402000225 NJ Part B Supplier - Clinic/Group Practice 0648401836 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ; Somerville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1821413196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SPRING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426904",
            "telephone_number": "609-252-9718",
            "fax_number": "609-252-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SPRING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426904",
            "telephone_number": "609-252-9718",
            "fax_number": "609-252-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJM BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "60925297818",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00341700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.