Organization Active NPI

Behavioral Health Associates of New Jersey LLC

  • Community/Behavioral Health Agency
  • Nutley, NJ
National Provider Identifier
1932956703
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY LLC
Practice address
9 Briar LN
Nutley, NJ 07110-3001
Phone
(973) 542-0703
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Sally Ann Goncalves, LPCNPI 1124785316
Title
Owner
Phone
(973) 542-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9 Briar LN
Nutley, NJ 07110-3001

Mailing address

9 Briar LN
Nutley, NJ 07110-3001
Phone (973) 542-0703

Other practice location 1

16 Allison Dr
East Brunswick, NJ 08816-4474
Phone (732) 619-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403001676 NJ Part B Supplier - Clinic/Group Practice 4284158981 Receives reassigned benefits from 3 practitioners
Practice locations: Nutley, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1932956703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRIAR LN",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103001",
            "telephone_number": "973-542-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRIAR LN",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103001",
            "telephone_number": "973-542-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Allison Dr",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088164474",
            "country_code": "US",
            "telephone_number": "732-619-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "SALLY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-542-0703",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.