| Barrett Behavioral Health Corp | |
|
175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 | |
| (201) 306-4374 | |
| Not Available |
| Full Name | Barrett Behavioral Health Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 175 Fairfield Ave Ste 1c, West Caldwell, New Jersey |
| Authorized Official Name and Position | Toni Jean Barrett (OWNER) |
| Authorized Official Contact | 9737960903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barrett Behavioral Health Corp 175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 Ph: (201) 306-4374 | Barrett Behavioral Health Corp 175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 Ph: (201) 306-4374 |
| NPI Number | 1427433986 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 3072828755 |
|---|---|
| Medicare Enrollment ID | O20150811004203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427433986 | NPI | - | NPPES |
| 1023427325 | Other | NJ | MEDICARE |
| 1023427325 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SCO5482200 (New Jersey) | Primary |
| Provider Name | Toni Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023427325 PECOS PAC ID: 9638484280 Enrollment ID: I20150813009624 |
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