NPIMap

Organization Active NPI

Optimum Behavioral Health

  • Clinical Social Worker
  • Bayonne, NJ
National Provider Identifier
1851682017
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
445CO5207500 Issued in NJ
Legal business name
OPTIMUM BEHAVIORAL HEALTH
Practice address
1137 Avenue C
Bayonne, NJ 07002-3313
Phone
(201) 339-3371
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Ms. Ann Tedschi
Title
LCSW
Phone
(201) 339-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 445CO5207500 NJ Primary

Addresses

Primary practice location

1137 Avenue C
Bayonne, NJ 07002-3313

Mailing address

1137 Avenue C
Bayonne, NJ 07002-3313
Phone (201) 339-3371

National Provider Directory

National Provider Directory
Tax ID family
Optimum Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1851682017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023313",
            "telephone_number": "201-339-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023313",
            "telephone_number": "201-339-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "TEDSCHI",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "201-339-3371",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445CO5207500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.