NPIMap

Organization Active NPI

New Behavioral

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
National Provider Identifier
1831429984
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW BEHAVIORAL
Practice address
2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1632
Phone
(856) 874-1616
Fax
(856) 424-7660
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mr. Joseph Boettcher
Title
Coo
Phone
(856) 669-0217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1632

Mailing address

2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003-1632
Phone (856) 874-1616

Other identifiers 2

IdentifierTypeStateIssuer
64681028OtherNJPERFORM CARE
0065153MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
New Behavioral Network4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1831429984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "UNIT 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031632",
            "telephone_number": "856-874-1616",
            "fax_number": "856-424-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "UNIT 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031632",
            "telephone_number": "856-874-1616",
            "fax_number": "856-424-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "BOETTCHER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "856-669-0217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORM CARE",
            "identifier": "64681028",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065153",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.