Legacy Treatment Services Inc - Medicare Mental Health Clinic in Hainesport, NJ

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Legacy Treatment Services Inc is a medicare enrolled mental health clinic (Community/behavioral Health) in Hainesport, New Jersey. The current practice location for Legacy Treatment Services Inc is 1289 Route 38, Suite #203, Hainesport, New Jersey. For appointments, you can reach them via phone at (609) 288-3067. The mailing address for Legacy Treatment Services Inc is 1289 Route 38, Suite #203, Hainesport, New Jersey and phone number is (609) 288-3067.

Legacy Treatment Services Inc is licensed to practice in New Jersey (license number ). The clinic also participates in the medicare program and its NPI number is 1730594656. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (609) 288-3067.

Contact Information

Legacy Treatment Services Inc
1289 Route 38
Suite #203
Hainesport
NJ 08036-2730
(609) 288-3067
(609) 265-1895

Map and Direction


Mental Health Clinic Profile

Full NameLegacy Treatment Services Inc
SpecialityCommunity/Behavioral Health
Location1289 Route 38, Hainesport, New Jersey
Authorized Official Name and PositionChristine Kirkbride (CEO)
Authorized Official Contact6092675656
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Treatment Services Inc
1289 Route 38
Suite #203
Hainesport
NJ 08036-2730

Ph: (609) 288-3067		Legacy Treatment Services Inc
1289 Route 38
Suite #203
Hainesport
NJ 08036-2730

Ph: (609) 288-3067

NPI Details:

NPI Number1730594656
Provider Enumeration Date06/30/2014
Last Update Date04/18/2024
Certification Date04/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0042526899
Medicare Enrollment IDO20150825003854

Medical Identifiers

Medical identifiers for Legacy Treatment Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730594656NPI-NPPES
8847304MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Treatment Services Inc acts as a billing entity for following providers:
Provider NameChristina M Silvaria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790217032
PECOS PAC ID: 3870565377
Enrollment ID: I20040806000114
Provider NameJames R Varrell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689779043
PECOS PAC ID: 2567366073
Enrollment ID: I20050412000150
Provider NameDiane Goldblum Graff
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1154449734
PECOS PAC ID: 8628177888
Enrollment ID: I20070628000505
Provider NameJenys Allende
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013171362
PECOS PAC ID: 6002979168
Enrollment ID: I20090115000322
Provider NameEva Sleczka
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124252309
PECOS PAC ID: 4789738188
Enrollment ID: I20090819000837
Provider NameMaasi Shamilov
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528073491
PECOS PAC ID: 8123175775
Enrollment ID: I20101029000253
Provider NameHatice Burakgazi Yilmaz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033328711
PECOS PAC ID: 7012103831
Enrollment ID: I20101118001296
Provider NameNicole M Henderson Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073795688
PECOS PAC ID: 3476736422
Enrollment ID: I20110329000219
Provider NameMarc Irwin Rothman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700884889
PECOS PAC ID: 6901975457
Enrollment ID: I20111206000252
Provider NameDanica N Rivello
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447554852
PECOS PAC ID: 6103083944
Enrollment ID: I20120206000495
Provider NameAfm Haque
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649309170
PECOS PAC ID: 9133187909
Enrollment ID: I20120531000027
Provider NameAngela Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740523919
PECOS PAC ID: 4688809346
Enrollment ID: I20131125001209
Provider NameAlyssa Killion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255655874
PECOS PAC ID: 1850521949
Enrollment ID: I20140312000577
Provider NameHarriet Asamoah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467885392
PECOS PAC ID: 4587895032
Enrollment ID: I20140326000273
Provider NameNichelle R Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447690847
PECOS PAC ID: 1951525153
Enrollment ID: I20140609002106
Provider NameDeborah M Toole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275954604
PECOS PAC ID: 8325264708
Enrollment ID: I20140721000639
Provider NameDavid L Bokor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326010034
PECOS PAC ID: 4789906835
Enrollment ID: I20141201001466
Provider NameUrsula N Odimara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629490222
PECOS PAC ID: 1153553078
Enrollment ID: I20150519001012
Provider NameNicole O Ibe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407076045
PECOS PAC ID: 3375855455
Enrollment ID: I20150701002384
Provider NameRobert T Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285025593
PECOS PAC ID: 1052629524
Enrollment ID: I20151002000129
Provider NameCristina C Sertway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871965020
PECOS PAC ID: 2062703424
Enrollment ID: I20160615002154
Provider NameNadia Swanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902093925
PECOS PAC ID: 2860540754
Enrollment ID: I20160829002931
Provider NameKelly Geary
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720332398
PECOS PAC ID: 3971871518
Enrollment ID: I20170622001624
Provider NameApril Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306380613
PECOS PAC ID: 7416221957
Enrollment ID: I20170921001008
Provider NameErnestina S Archer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376064915
PECOS PAC ID: 5698031334
Enrollment ID: I20171113001419
Provider NameChinyere Evangeline Ubah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770907784
PECOS PAC ID: 5991069460
Enrollment ID: I20180509000977
Provider NameSondra Dublinsky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497118475
PECOS PAC ID: 6608128962
Enrollment ID: I20181015002129
Provider NameOlusolape M Akinyemi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598251662
PECOS PAC ID: 8628313558
Enrollment ID: I20181221001506
Provider NameNeiderling Henry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023539020
PECOS PAC ID: 6709298623
Enrollment ID: I20201218000153
Provider NameConsolata Mulli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437568862
PECOS PAC ID: 1759684327
Enrollment ID: I20221008000138
Provider NameKevin Patrick Higgins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891164075
PECOS PAC ID: 5193101574
Enrollment ID: I20221010000024
Provider NameAlexis C Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326778036
PECOS PAC ID: 3678949955
Enrollment ID: I20221012002255
Provider NameBernard Montague
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912362880
PECOS PAC ID: 2466829296
Enrollment ID: I20221107003057
Provider NameOnyekachi Oyiriaru
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093144875
PECOS PAC ID: 2264778752
Enrollment ID: I20230201000138
Provider NameJodi Salvati
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255076063
PECOS PAC ID: 6305291279
Enrollment ID: I20231012001585
Provider NameLeo Onyekwere Onuoha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235856600
PECOS PAC ID: 5890144315
Enrollment ID: I20231209000357
Provider NameWarren Bopp
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386068559
PECOS PAC ID: 0648613307
Enrollment ID: I20240209000320
Provider NameJennifer Innocenti
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962892299
PECOS PAC ID: 5193168722
Enrollment ID: I20240209003261
Provider NameDouglas Edmund Rynkewicz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922764273
PECOS PAC ID: 8224471826
Enrollment ID: I20240212000677
Provider NameRoberta Assa
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598810335
PECOS PAC ID: 6901249465
Enrollment ID: I20240212002927
Provider NameDaniel Blank
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1194124289
PECOS PAC ID: 0749623221
Enrollment ID: I20240212003586
Provider NameClare A Malchiodi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639503931
PECOS PAC ID: 4789028903
Enrollment ID: I20240215003062
Provider NameJennifer Morrison
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881055192
PECOS PAC ID: 3971948332
Enrollment ID: I20240226002537

Reviews and Comments

Community/Behavioral Health in Hainesport, NJ

Drenk - Camden
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Suite 203, Hainesport, NJ 08036
Phone: 609-267-5656    
Drenk - Wraparound/icm
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Suite 205, Hainesport, NJ 08036
Phone: 609-261-3330    
Great Minds Aba Therapy Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4 Whitney Pl, Hainesport, NJ 08036
Phone: 856-220-9903    
Legacy Treatment Services, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Hainesport, NJ 08036
Phone: 609-267-5656    
The Lester A. Drenk Behavioral Health Center Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Suite #203, Hainesport, NJ 08036
Phone: 609-596-5656    Fax: 609-265-1895
The Lester A. Drenk Behavioral Health Center, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Suite 203, Hainesport, NJ 08036
Phone: 609-267-5656    Fax: 609-265-1895
The Drenk Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Route 38, Suite 203, Hainesport, NJ 08036
Phone: 609-267-5656    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.