Keri McBride

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05763800 Issued in NJ

Practice address

569 Broadway
Westwood, NJ 07675-1663

Phone

(201) 957-1800

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Behavioral Healthcare, Inc.

  • Mental Health Counselor
  • Lyndhurst, NJ
  • NPI 1134176720
  Medicare reassignment Care Compare group
• Comprehensive Behavioral Healthcare, Inc.

  • Mental Health Counselor
  • Westwood, NJ
  • NPI 1205341153

  Clinical

  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1962917468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 BROADWAY",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751663",
            "telephone_number": "201-957-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Salem St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076017427",
            "country_code": "US",
            "telephone_number": "201-646-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Pompton Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442950",
            "country_code": "US",
            "telephone_number": "856-421-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "KERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05763800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392138",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keri.mcbride@eleanorhealth.com",
            "affiliation": "N",
            "address_1": "96 Pompton Ave Ste 101",
            "city": "Verona",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070442950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha J Maso, M.D.
• Beena Mathaikutty, MD
• Sojan Mathew, RRT
• Genevieve Catherine Matthews, MD
• Robert McAlonan, LCSW
• Walter Scott McCann, PT, DPT
• Caitlin McCaul
• Laura Jane McConville, LSW
• John E McNerney, DPM
• Lisa Marie McNerney, ATC

• Clinical Social Worker in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.