Organization Active NPI

Anchor Behavioral Solutions LLC

  • Developmentally Disabled Services Day Training Agency
  • Maplewood, NJ
National Provider Identifier
1851966956
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ANCHOR BEHAVIORAL SOLUTIONS LLC
Practice address
463 Valley St
Maplewood, NJ 07040-1330
Phone
(862) 343-6429
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Aslam Ali
Title
Executive Director
Phone
(201) 618-9529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

463 Valley St
Maplewood, NJ 07040-1330

Mailing address

PO Box 3111
West Orange, NJ 07052-3061
Phone (862) 233-7552

Other identifiers 1

IdentifierTypeStateIssuer
0594539MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Anchor Behavioral Solutions LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1851966956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3111",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523061",
            "telephone_number": "862-233-7552",
            "fax_number": "844-383-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 VALLEY ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401330",
            "telephone_number": "862-343-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ASLAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-618-9529"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0594539",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.