| Cpc Behavioral Healthcare, Inc | |
|
270 Route 35 Red Bank NJ 07701-5920 | |
| (732) 842-2000 | |
| (732) 224-0688 |
| Full Name | Cpc Behavioral Healthcare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 270 Route 35, Red Bank, New Jersey |
| Authorized Official Name and Position | John Mans (CEO) |
| Authorized Official Contact | 7329352220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpc Behavioral Healthcare, Inc 10 Industrial Way E Eatontown NJ 07724-3317 Ph: (732) 935-2220 | Cpc Behavioral Healthcare, Inc 270 Route 35 Red Bank NJ 07701-5920 Ph: (732) 842-2000 |
| NPI Number | 1366497356 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 3971593161 |
|---|---|
| Medicare Enrollment ID | O20040518000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366497356 | NPI | - | NPPES |
| 0017752 | Medicaid | NJ | |
| 8835306 | Medicaid | NJ | |
| 4547306 | Medicaid | NJ | |
| 8378509 | Medicaid | NJ | |
| 8819408 | Medicaid | NJ | |
| 0012025 | Medicaid | NJ | |
| 0085502 | Medicaid | NJ | |
| 7651104 | Medicaid | NJ | |
| 0017175 | Medicaid | NJ | |
| 0012017 | Medicaid | NJ | |
| 8378207 | Medicaid | NJ | |
| 0012068 | Medicaid | NJ | |
| 0099805 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Liza A Rodriguez |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306877519 PECOS PAC ID: 2961305271 Enrollment ID: I20040202000447 |
| Provider Name | Richard A Deblasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538353255 PECOS PAC ID: 2961480959 Enrollment ID: I20040707001180 |
| Provider Name | June Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205911278 PECOS PAC ID: 4385691872 Enrollment ID: I20050406000996 |
| Provider Name | Kenneth Pecoraro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629113576 PECOS PAC ID: 8224076427 Enrollment ID: I20050419000768 |
| Provider Name | Andrea V Barauskas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588747877 PECOS PAC ID: 4981642709 Enrollment ID: I20050421001291 |
| Provider Name | Donna Napoli Velasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275148868 PECOS PAC ID: 8426096173 Enrollment ID: I20050422000016 |
| Provider Name | Celeste G Mecca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528503281 PECOS PAC ID: 3577503622 Enrollment ID: I20050509000069 |
| Provider Name | Tiffany N Flewellen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922295955 PECOS PAC ID: 8123101821 Enrollment ID: I20080218000474 |
| Provider Name | Dennis Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669544433 PECOS PAC ID: 8123187549 Enrollment ID: I20081030000166 |
| Provider Name | Shengxi Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114192291 PECOS PAC ID: 6406918184 Enrollment ID: I20081215000735 |
| Provider Name | Chandrika Nadipuram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255495123 PECOS PAC ID: 1658421177 Enrollment ID: I20090604000016 |
| Provider Name | Gem-estelle M Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053496224 PECOS PAC ID: 3870645708 Enrollment ID: I20090723000322 |
| Provider Name | Elizabeth J Ginn Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326252941 PECOS PAC ID: 0749479533 Enrollment ID: I20110110000468 |
| Provider Name | Yai-dea Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710283932 PECOS PAC ID: 4880871680 Enrollment ID: I20110603000267 |
| Provider Name | Allison L Baron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578853834 PECOS PAC ID: 5294908927 Enrollment ID: I20111025000641 |
| Provider Name | Robert J Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225102346 PECOS PAC ID: 2163695073 Enrollment ID: I20111109000028 |
| Provider Name | Anthony J Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972677003 PECOS PAC ID: 7315111044 Enrollment ID: I20111115000589 |
| Provider Name | Ann K Farrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881966497 PECOS PAC ID: 3971761404 Enrollment ID: I20120229000757 |
| Provider Name | Sheron D Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699059071 PECOS PAC ID: 3274795570 Enrollment ID: I20120503000068 |
| Provider Name | Alison L Lehnert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063769792 PECOS PAC ID: 6901056522 Enrollment ID: I20121017000189 |
| Provider Name | Danielle Parisi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770731655 PECOS PAC ID: 4789836750 Enrollment ID: I20121221000023 |
| Provider Name | Christine R Possemato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053680413 PECOS PAC ID: 6800059569 Enrollment ID: I20130604000056 |
| Provider Name | Tammy L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720109846 PECOS PAC ID: 1052551017 Enrollment ID: I20130716000252 |
| Provider Name | Jennifer M Carlone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891067450 PECOS PAC ID: 6608001144 Enrollment ID: I20131108001057 |
| Provider Name | Marina Zilpert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861754772 PECOS PAC ID: 8123257045 Enrollment ID: I20140218001281 |
| Provider Name | Carrie M Fine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083033633 PECOS PAC ID: 1254645823 Enrollment ID: I20150728003898 |
| Provider Name | Dora I Duque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194056549 PECOS PAC ID: 1153635156 Enrollment ID: I20150805006366 |
| Provider Name | Karalee Pieluc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851737829 PECOS PAC ID: 3375839491 Enrollment ID: I20160915000843 |
| Provider Name | Susan D Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770956617 PECOS PAC ID: 6608158233 Enrollment ID: I20170117000217 |
| Provider Name | Deborah E Atzbi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700319522 PECOS PAC ID: 8729365226 Enrollment ID: I20170511000543 |
| Provider Name | Allison Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699178384 PECOS PAC ID: 8527335082 Enrollment ID: I20170605001337 |
| Provider Name | Audrey C Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740682855 PECOS PAC ID: 5597035212 Enrollment ID: I20170727003077 |
| Provider Name | Tina N Butkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149854 PECOS PAC ID: 4880950237 Enrollment ID: I20171117001629 |
| Provider Name | Teresa M Dawe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982758652 PECOS PAC ID: 0648531145 Enrollment ID: I20180226000535 |
| Provider Name | Molly B Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407307903 PECOS PAC ID: 4789946617 Enrollment ID: I20180313000738 |
| Provider Name | Rose Mayard Amazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023562568 PECOS PAC ID: 5395007868 Enrollment ID: I20180321000498 |
| Provider Name | Susan K Jagodich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750528592 PECOS PAC ID: 1355605551 Enrollment ID: I20180515001484 |
| Provider Name | Shelby M Leder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538659222 PECOS PAC ID: 0840545448 Enrollment ID: I20180622001692 |
| Provider Name | Graziella Portalatin Chavez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720236326 PECOS PAC ID: 3870782964 Enrollment ID: I20180827000774 |
| Provider Name | Juan M Marte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437128477 PECOS PAC ID: 8820984503 Enrollment ID: I20180828001549 |
| Provider Name | Nicole Spano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295077410 PECOS PAC ID: 7214289099 Enrollment ID: I20181004003037 |
| Provider Name | Victoria Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780167163 PECOS PAC ID: 1254684723 Enrollment ID: I20181030003061 |
| Provider Name | Kylee L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029730 PECOS PAC ID: 7810240025 Enrollment ID: I20181105001018 |
| Provider Name | Julie A Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904205 PECOS PAC ID: 2668716846 Enrollment ID: I20181128002089 |
| Provider Name | Daniel Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508123449 PECOS PAC ID: 1759626740 Enrollment ID: I20181219001980 |
| Provider Name | Ashley Schiraldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831661396 PECOS PAC ID: 5799023305 Enrollment ID: I20190206001646 |
| Provider Name | Enera Kupi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339181 PECOS PAC ID: 9537408133 Enrollment ID: I20190226001494 |
| Provider Name | Mulikat M Otepola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194219907 PECOS PAC ID: 5294074472 Enrollment ID: I20190306000373 |
| Provider Name | Tricia T Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215279179 PECOS PAC ID: 3173863958 Enrollment ID: I20190313001841 |
| Provider Name | Brenda Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366723579 PECOS PAC ID: 6901032820 Enrollment ID: I20190729002936 |
| Provider Name | Dianne Ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500853 PECOS PAC ID: 8729319348 Enrollment ID: I20191014001297 |
| Provider Name | Alexandr Dron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295170439 PECOS PAC ID: 5597049189 Enrollment ID: I20191226000056 |
| Provider Name | Kevin Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548817521 PECOS PAC ID: 1658705496 Enrollment ID: I20200102001677 |
| Provider Name | Katrina Donna Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154891869 PECOS PAC ID: 4486089810 Enrollment ID: I20200114000017 |
| Provider Name | Alice L Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245870658 PECOS PAC ID: 3870929698 Enrollment ID: I20200213002663 |
| Provider Name | Debra J Ciuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316585375 PECOS PAC ID: 6103255047 Enrollment ID: I20200329000300 |
| Provider Name | Adebayo M Arowolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508405382 PECOS PAC ID: 0446673842 Enrollment ID: I20200701002414 |
| Provider Name | Sharon E Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618580 PECOS PAC ID: 2961827118 Enrollment ID: I20200804003545 |
| Provider Name | Mary Ellen Ramsay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871038430 PECOS PAC ID: 0345665261 Enrollment ID: I20200810000037 |
| Provider Name | Jonathan Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477062800 PECOS PAC ID: 7113345786 Enrollment ID: I20200914001811 |
| Provider Name | Aubrey B Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265970727 PECOS PAC ID: 5890105159 Enrollment ID: I20201028001153 |
| Provider Name | Seton E Cuccio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205307907 PECOS PAC ID: 0446661789 Enrollment ID: I20201118000635 |
| Provider Name | Nathaly Ceron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922474501 PECOS PAC ID: 6204249196 Enrollment ID: I20210114001034 |
| Provider Name | Kimberly D Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568058345 PECOS PAC ID: 9537572383 Enrollment ID: I20210115001064 |
| Provider Name | Jessica Parekkadan-mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689276677 PECOS PAC ID: 4082752233 Enrollment ID: I20210119000966 |
| Provider Name | Ann Marie Cupples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871061218 PECOS PAC ID: 5092129932 Enrollment ID: I20210204000287 |
| Provider Name | Veronica Adeoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114403946 PECOS PAC ID: 0749696524 Enrollment ID: I20210302001620 |
| Provider Name | Alison M Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093312712 PECOS PAC ID: 6709293418 Enrollment ID: I20210325000339 |
| Provider Name | Jadaysia M Durant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326557117 PECOS PAC ID: 5890102545 Enrollment ID: I20210325001675 |
| Provider Name | Brandon P Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588140065 PECOS PAC ID: 2769899418 Enrollment ID: I20210325001830 |
| Provider Name | Mark Sedlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710522768 PECOS PAC ID: 6406258896 Enrollment ID: I20210707003371 |
| Provider Name | Gabrielle M Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467028480 PECOS PAC ID: 1254733611 Enrollment ID: I20210708001274 |
| Provider Name | Lorraine J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699365486 PECOS PAC ID: 7416359534 Enrollment ID: I20210713000687 |
| Provider Name | Susan A Rufolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124608153 PECOS PAC ID: 0648674903 Enrollment ID: I20210809001364 |
| Provider Name | Gideon Thuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518540038 PECOS PAC ID: 5890192975 Enrollment ID: I20210916002923 |
| Provider Name | Ivy J Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629609649 PECOS PAC ID: 1153711585 Enrollment ID: I20211129002178 |
| Provider Name | Victoria J Cranmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720557754 PECOS PAC ID: 7911398730 Enrollment ID: I20220105000035 |
| Provider Name | Samantha M Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306499736 PECOS PAC ID: 4587051909 Enrollment ID: I20220503001203 |
| Provider Name | Samuel Amponsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285394262 PECOS PAC ID: 2365810561 Enrollment ID: I20221118002109 |
| Provider Name | Amy M Edelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215650064 PECOS PAC ID: 8426426222 Enrollment ID: I20221129002234 |
| Provider Name | Paige J Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558089458 PECOS PAC ID: 0840668547 Enrollment ID: I20221201000183 |
| Provider Name | Corey N Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124769690 PECOS PAC ID: 6608240973 Enrollment ID: I20230328002489 |
| Provider Name | Edward O Oladipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821795311 PECOS PAC ID: 9739545989 Enrollment ID: I20230515001719 |
| Provider Name | Timothy Gitto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649777459 PECOS PAC ID: 1456713072 Enrollment ID: I20230815000561 |
| Provider Name | Kelcy Mcgeehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285348029 PECOS PAC ID: 9335501501 Enrollment ID: I20230821001102 |
| Provider Name | Nivedita Elangovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629644695 PECOS PAC ID: 8729440904 Enrollment ID: I20230821001406 |
| Provider Name | Haley L Bisogne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689394876 PECOS PAC ID: 0042672248 Enrollment ID: I20230821002117 |
| Provider Name | Jenna P Riccatelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962176560 PECOS PAC ID: 4284089343 Enrollment ID: I20231010000050 |
| Provider Name | Nicole Tierney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861101768 PECOS PAC ID: 0941650790 Enrollment ID: I20231220001967 |
| Provider Name | Nicole M Catalano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225741812 PECOS PAC ID: 6507217700 Enrollment ID: I20240112000476 |
| Provider Name | Tyler Golusinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124726492 PECOS PAC ID: 1658723424 Enrollment ID: I20240117001856 |
| Provider Name | Raphael F Samson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215400973 PECOS PAC ID: 8921450669 Enrollment ID: I20240118002831 |
| Provider Name | Patti Kousoulis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174094312 PECOS PAC ID: 8921450560 Enrollment ID: I20240118003179 |
| Provider Name | Robin J Hyson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205139193 PECOS PAC ID: 2365894979 Enrollment ID: I20240119000756 |
| Provider Name | Colleen D O'meara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740696681 PECOS PAC ID: 3476905613 Enrollment ID: I20240123003783 |
| Provider Name | Caitlin A Golden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639897499 PECOS PAC ID: 1951754159 Enrollment ID: I20240124001164 |
| Provider Name | Harley M Cadmus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275085540 PECOS PAC ID: 9234582206 Enrollment ID: I20240125002526 |
| Provider Name | Megan M Di Dio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518404789 PECOS PAC ID: 8325491335 Enrollment ID: I20240125004104 |
| Provider Name | Linda M Lanni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689967408 PECOS PAC ID: 3476906496 Enrollment ID: I20240125004321 |
| Provider Name | Alexandra S Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851903975 PECOS PAC ID: 7214380153 Enrollment ID: I20240127000071 |
| Provider Name | Kyle E Reinhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578051199 PECOS PAC ID: 3779927199 Enrollment ID: I20240213004890 |
| Provider Name | Alexis A Rizzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437800349 PECOS PAC ID: 2365886793 Enrollment ID: I20240214000122 |
| Provider Name | T S Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972767812 PECOS PAC ID: 7113362070 Enrollment ID: I20240301000313 |
Moments In Time Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Broad St, Red Bank, NJ 07701 Phone: 732-218-4640 | |
Nj Center For The Healing Arts, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 248 Broad St, Suite #1, Red Bank, NJ 07701 Phone: 732-747-2944 Fax: 732-747-2949 | |
Kristen Ferreira Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Reckless Pl, Red Bank, NJ 07701 Phone: 908-447-2846 | |
Just In Time Matters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Bank St, Red Bank, NJ 07701 Phone: 732-796-8426 | |
Abby Road Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7 Hendrickson Ave, Red Bank, NJ 07701 Phone: 732-893-5316 | |
Brighter Living Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Reckless Pl, Red Bank, NJ 07701 Phone: 732-219-9002 | |
Aspera Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Broad St Ste 4, Red Bank, NJ 07701 Phone: 732-982-7068 |