Pinnacle Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PINNACLE BEHAVIORAL HEALTH SERVICES

Practice address

520 Stokes Rd Ste B1
Medford, NJ 08055-2915

Phone

(813) 784-7270

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Lee Gaidis, PSYDNPI 1396007308

Title

Clinical Psychologist

Phone

(813) 784-7270

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Lee Gaidis, PSY.D.

  • Clinical Psychologist
  • Templeton, CA
  • NPI 1396007308
  NPD Authorized official
• Tamame Fonville, LCSW

  • Mental Health Counselor
  • Ewing, NJ
  • NPI 1366923211
  NPD (past)
• Heather Soellner

  • Professional Counselor
  • Medford, NJ
  • NPI 1154911741
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1982291365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES RD STE B1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552915",
            "telephone_number": "813-784-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD STE B1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552915",
            "telephone_number": "813-784-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "GAIDIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-784-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physique Labs
• Michael J Piarulli Jr., MD
• Pineland Plaza Family Practice, LLC
• Pinelands ABA Connection LLC.
• Pinelands Family Dental Care
• Pinnacle Eye Group
• Daniel Robert Pinto, DPT
• Jeffrey Pinto, D.O.
• Kelsey Pio
• Zachary Piotrowski, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, NJ
• Providers in Medford, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.