TQ Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07291000 Issued in NJ

Legal business name

TQ BEHAVIORAL HEALTH LLC

Practice address

940 Cedar Bridge Ave
Suite B
Brick, NJ 08723-4170

Phone

(908) 526-8370

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Henry Odunlami, MD

Title

Ceo

Phone

(908) 526-8370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1851756498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 US HIGHWAY 22",
            "address_2": "SUITE 3B",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072949",
            "telephone_number": "908-526-8370",
            "fax_number": "908-801-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CEDAR BRIDGE AVE",
            "address_2": "SUITE B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234170",
            "telephone_number": "908-526-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TQ BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "ODUNLAMI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-526-8370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07291000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Tourtellot, DO
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• Township of Brick
• Pamela Lynn Tracy
• Richard A Trainor, MS LAT ATC
• Duc Thi Tran, M.D.
• Transparent Healing Psychotherapy LLC
• Timothy J Trego, LDO, ABOC-AC, NCLEC

• Psychiatry Physician in Brick, NJ
• Providers in Brick, 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 Dec 29, 2015; 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.