Comprehensive Mental Health Services | |
100 Straube Center Blvd Box H-1 Pennington NJ 08534-1447 | |
(609) 737-7797 | |
(609) 737-7499 |
Full Name | Comprehensive Mental Health Services |
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Speciality | Social Worker |
Location | 100 Straube Center Blvd, Pennington, New Jersey |
Authorized Official Name and Position | Jonathan Woods (DIRECTOR) |
Authorized Official Contact | 6097377797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Mental Health Services 100 Straube Center Blvd Box H-1 Pennington NJ 08534-1447 Ph: (609) 737-7797 | Comprehensive Mental Health Services 100 Straube Center Blvd Box H-1 Pennington NJ 08534-1447 Ph: (609) 737-7797 |
NPI Number | 1841243854 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3476564873 |
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Medicare Enrollment ID | O20060524000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841243854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC00276100 (New Jersey) | Primary |
Provider Name | Sarah Trillin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316126568 PECOS PAC ID: 4284672791 Enrollment ID: I20050425000258 |
Provider Name | Jonathan Woods |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932143575 PECOS PAC ID: 2567401920 Enrollment ID: I20050426001026 |
Provider Name | Donald P Fong |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386690683 PECOS PAC ID: 4284645680 Enrollment ID: I20060531000036 |
Provider Name | Keith A Raser |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881885804 PECOS PAC ID: 6002905973 Enrollment ID: I20071129000406 |
Provider Name | Julia F Paul |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720250574 PECOS PAC ID: 6901110436 Enrollment ID: I20150728006099 |
Provider Name | Michael P Boyle |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285959270 PECOS PAC ID: 4688964091 Enrollment ID: I20160526000106 |
Provider Name | Ilene M West |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295042083 PECOS PAC ID: 0042445397 Enrollment ID: I20180129000996 |
Provider Name | Bryan M Balaban |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861967804 PECOS PAC ID: 1254664063 Enrollment ID: I20190611001413 |
Provider Name | Jill M Richards |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164648374 PECOS PAC ID: 9638566177 Enrollment ID: I20220501000025 |
Provider Name | Kevin Kavookjian |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235301706 PECOS PAC ID: 2466528641 Enrollment ID: I20230225000112 |
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