| Bayonne Community Mental Health Center, A Service Of Trinitas Regional | |
|
601 Broadway Bayonne NJ 07002-3818 | |
| (201) 339-9200 | |
| (201) 339-7842 |
| Full Name | Bayonne Community Mental Health Center, A Service Of Trinitas Regional |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 601 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Karen Lumpp (CFO) |
| Authorized Official Contact | 9089948174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayonne Community Mental Health Center, A Service Of Trinitas Regional 225 Williamson St. Finance-cranford Elizabeth NJ 07202-3625 Ph: (908) 994-8119 | Bayonne Community Mental Health Center, A Service Of Trinitas Regional 601 Broadway Bayonne NJ 07002-3818 Ph: (201) 339-9200 |
| NPI Number | 1538665823 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 0143138016 |
|---|---|
| Medicare Enrollment ID | O20180503000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538665823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
| Provider Name | Georgios Petrides |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972538874 PECOS PAC ID: 3173417730 Enrollment ID: I20040212000874 |
| Provider Name | Linda M Pecca-reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679655278 PECOS PAC ID: 6204874357 Enrollment ID: I20050420000417 |
| Provider Name | Jude Emelumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396185567 PECOS PAC ID: 9032353438 Enrollment ID: I20130925000802 |
| Provider Name | Salvatore G Savatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164670717 PECOS PAC ID: 7810040276 Enrollment ID: I20161010000807 |
| Provider Name | Roxanne C Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629596416 PECOS PAC ID: 0446519375 Enrollment ID: I20180122001566 |
| Provider Name | Sylvana J Garcia Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699280099 PECOS PAC ID: 8224376538 Enrollment ID: I20190212002106 |
| Provider Name | Temitope Shakirat Coates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679939656 PECOS PAC ID: 6709175334 Enrollment ID: I20190311000013 |
| Provider Name | Krystyna Vaccarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346477528 PECOS PAC ID: 7113357484 Enrollment ID: I20200429000721 |
| Provider Name | Yaranil Ferrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811245764 PECOS PAC ID: 2466870373 Enrollment ID: I20200909001680 |
| Provider Name | Marie Cherubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245975861 PECOS PAC ID: 1153701818 Enrollment ID: I20220712001946 |
| Provider Name | Eugene Otchere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659048486 PECOS PAC ID: 7618342734 Enrollment ID: I20231027002484 |
| Provider Name | Christopher T Tikum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578269056 PECOS PAC ID: 7214370113 Enrollment ID: I20240208000389 |
| Provider Name | Damarys Escoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629776679 PECOS PAC ID: 2466892179 Enrollment ID: I20240429001969 |
A Step Closer, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 W 30th St, Bayonne, NJ 07002 Phone: 201-600-1812 | |
Prov 205 Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Broadway, Suite A, Bayonne, NJ 07002 Phone: 201-455-2052 Fax: 201-354-9376 | |
Optimum Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Avenue C, Bayonne, NJ 07002 Phone: 201-339-3371 Fax: 201-339-3376 | |
Dreamchasers Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 50th St, Bayonne, NJ 07002 Phone: 281-895-3250 | |
Brian C. Della Pesca Ma Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 Broadway, Suite 307, Bayonne, NJ 07002 Phone: 973-980-2955 Fax: 201-254-9928 | |
Bayonne Cmhc-partial Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 597 Broadway, Bayonne, NJ 07002 Phone: 201-339-9200 | |
Dr Lashonda Green Counseling Consulting & Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Broadway Apt 3b, Bayonne, NJ 07002 Phone: 732-404-1555 Fax: 732-234-0353 |