Assurance Behavioral Health, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00412500 Issued in NJ

Legal business name

ASSURANCE BEHAVIORAL HEALTH, PC

Practice address

102 Browning LN Ste C
Cherry Hill, NJ 08003-3195

Phone

(732) 512-8846

NPI assigned

Sep 12, 2010

Last updated

Sep 12, 2010By 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

Dr. Harry A. Green IV, PSYD

Title

Clinical Director

Phone

(732) 512-8846

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284249600000",
    "number": "1932416922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GARWOOD DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN STE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "732-512-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-512-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00412500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.