| Caring Family Community Services | |
|
1021 W Commodore Blvd Jackson NJ 08527-5372 | |
| (732) 780-2799 | |
| (732) 780-2899 |
| Full Name | Caring Family Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1021 W Commodore Blvd, Jackson, New Jersey |
| Authorized Official Name and Position | Randy Pittman (BUSINESS ADMINSTRATOR) |
| Authorized Official Contact | 7327802799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Family Community Services 1021 W Commodore Blvd Jackson NJ 08527-5372 Ph: (732) 780-2799 | Caring Family Community Services 1021 W Commodore Blvd Jackson NJ 08527-5372 Ph: (732) 780-2799 |
| NPI Number | 1558407528 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 07/25/2016 |
| Medicare PECOS PAC ID | 7618312232 |
|---|---|
| Medicare Enrollment ID | O20240305001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558407528 | NPI | - | NPPES |
| 0057151 | Medicaid | NJ | |
| 0382485 | Medicaid | NJ | |
| 0019895 | Medicaid | NJ |
| Provider Name | Sharon A Hollander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740304682 PECOS PAC ID: 9133498165 Enrollment ID: I20170707001275 |
| Provider Name | Jessica L Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023575404 PECOS PAC ID: 0840699690 Enrollment ID: I20210527000235 |
| Provider Name | Jillian Marie Gjokaj |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336352202 PECOS PAC ID: 4385081959 Enrollment ID: I20240319003253 |
| Provider Name | Pegeen Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952568669 PECOS PAC ID: 9234576786 Enrollment ID: I20240320002058 |
| Provider Name | Jean Mohan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992712228 PECOS PAC ID: 3274971627 Enrollment ID: I20240403003772 |
| Provider Name | Renee Durante |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609186246 PECOS PAC ID: 1254779614 Enrollment ID: I20240403003920 |
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