Blessings Way Behavioral Health, CDC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ006500 Issued in NJ

Legal business name

BLESSINGS WAY BEHAVIORAL HEALTH, CDC

Practice address

505 Hamilton Ave Ste 108
Linwood, NJ 08221-1054

Phone

(609) 788-0313

Fax

(609) 788-4505

NPI assigned

Jun 29, 2018

Last updated

Jun 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary L Jennings, APN

Title

Ceo/Founder

Phone

(609) 350-5817

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1871088955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PEACH TREE LN",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345252",
            "telephone_number": "609-350-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HAMILTON AVE STE 108",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211054",
            "telephone_number": "609-788-0313",
            "fax_number": "609-788-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSINGS WAY BEHAVIORAL HEALTH, CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "609-350-5817",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ006500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.