| Haven Behavioral Health, Llc | |
|
500 North Main Street Forked River NJ 08734-4831 | |
| (732) 470-8270 | |
| Not Available |
| Full Name | Haven Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 North Main Street, Forked River, New Jersey |
| Authorized Official Name and Position | Zahara Amoyelle (MEMBER) |
| Authorized Official Contact | 7324708270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Behavioral Health, Llc 4 Garden Ter Lakewood NJ 08701-3768 Ph: (732) 470-8270 | Haven Behavioral Health, Llc 500 North Main Street Forked River NJ 08734-4831 Ph: (732) 470-8270 |
| NPI Number | 1740812106 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Medicare PECOS PAC ID | 9234566241 |
|---|---|
| Medicare Enrollment ID | O20200303000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740812106 | NPI | - | NPPES |
| Provider Name | Cheryl A Byk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528133568 PECOS PAC ID: 0648229898 Enrollment ID: I20050118000053 |
| Provider Name | Michael Zuccaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437227915 PECOS PAC ID: 5193776631 Enrollment ID: I20050202000457 |
| Provider Name | Jennifer Fabbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942956206 PECOS PAC ID: 2961459383 Enrollment ID: I20050407000002 |
| Provider Name | Susan P Talty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467892083 PECOS PAC ID: 4587604418 Enrollment ID: I20050510000476 |
| Provider Name | Noreen Taggart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992145718 PECOS PAC ID: 1850521790 Enrollment ID: I20140220000925 |
| Provider Name | Kellyann Selleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932782539 PECOS PAC ID: 4486063799 Enrollment ID: I20210517001141 |
| Provider Name | Cheryl Ragonesi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659034304 PECOS PAC ID: 6608263058 Enrollment ID: I20220503002616 |
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