NPIMap

Organization Active NPI

Kennedy Behavorial Health

  • Adolescent and Children Mental Health Clinic/Center
  • Sewell, NJ
National Provider Identifier
1942653142
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
37AC00294300 Issued in NJ
Legal business name
KENNEDY BEHAVORIAL HEALTH
Practice address
454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339
Phone
(856) 582-1419
Fax
(856) 582-7661
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Ms. Megan Lee McCulley, MS, LAC
Title
Master'S Level Clinician
Phone
(856) 582-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 37AC00294300 NJ Primary

Addresses

Primary practice location

454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339

Mailing address

454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339
Phone (856) 582-1419

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Neph Hyper Asso15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1942653142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802339",
            "telephone_number": "856-582-1419",
            "fax_number": "856-582-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802339",
            "telephone_number": "856-582-1419",
            "fax_number": "856-582-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY BEHAVORIAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MASTER'S LEVEL CLINICIAN",
        "authorized_official_telephone_number": "856-582-1419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37AC00294300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.