Bluecrest Detox Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BLUECREST DETOX INC.

Practice address

6A Minneakoning Rd
Flemington, NJ 08822

Phone

(973) 298-5776

NPI assigned

Jun 4, 2025

Last updated

Jul 21, 2025By 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

Michelle Payne, LPC, LCADC

Title

VP Operations

Phone

(551) 777-3600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Danielle Peterson, LPC

  • Counselor
  • Midland Park, NJ
  • NPI 1598117939
  NPD

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1871487033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 NOTCH RD",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-298-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6A MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "973-298-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUECREST DETOX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "551-777-3600",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne T Bistany, LCSW
• Susan Blackwell-Nehlig, PSY.D.
• Kenneth Blankstein, M.D.
• Scott Thomas Bleazey, DPM
• Paul Jacob Bloch, M.D.
• Michelle Boateng, PHARMD, RPH
• Christopher Reid Boates
• Jacqueline Boccher, LSW
• Body N Balance
• Bogden and Oconer LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.