| South Jersey Behavioral Health Resources Incorporated | |
|
400 Market St Camden NJ 08102-1526 | |
| (856) 541-1700 | |
| (856) 541-1382 |
| Full Name | South Jersey Behavioral Health Resources Incorporated |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 400 Market St, Camden, New Jersey |
| Authorized Official Name and Position | Theresa C Wilson (PRESIDENT CEO) |
| Authorized Official Contact | 8565411700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Behavioral Health Resources Incorporated 400 Market St Camden NJ 08102-1526 Ph: (856) 541-1700 | South Jersey Behavioral Health Resources Incorporated 400 Market St Camden NJ 08102-1526 Ph: (856) 541-1700 |
| NPI Number | 1255491718 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/30/2017 |
| Medicare PECOS PAC ID | 2264503937 |
|---|---|
| Medicare Enrollment ID | O20080624000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255491718 | NPI | - | NPPES |
| OP0041106 | Medicaid | NJ | |
| 0083909 | Medicaid | NJ | |
| 7477007 | Medicaid | NJ | |
| 7677308 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | D05 (New Jersey) | Primary |
| Provider Name | Susan L Marc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942422142 PECOS PAC ID: 4183661317 Enrollment ID: I20050411000019 |
| Provider Name | Nalini Sudhir Naik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487734588 PECOS PAC ID: 4688617335 Enrollment ID: I20050603000847 |
| Provider Name | Tatyana Belinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902990229 PECOS PAC ID: 7416022561 Enrollment ID: I20080825000249 |
| Provider Name | Sudarshan Bagchi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942360243 PECOS PAC ID: 6305903626 Enrollment ID: I20090331000425 |
| Provider Name | Theodore W Wasserman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427178821 PECOS PAC ID: 2466589437 Enrollment ID: I20100422000732 |
| Provider Name | Aisha Ibrahim Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639244833 PECOS PAC ID: 4183808223 Enrollment ID: I20110413000886 |
| Provider Name | Jose Franco Doctor Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396812954 PECOS PAC ID: 1557548534 Enrollment ID: I20110531000064 |
| Provider Name | Veena Chheda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578622437 PECOS PAC ID: 4284803578 Enrollment ID: I20110802000661 |
| Provider Name | Joann M Melody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336392323 PECOS PAC ID: 9537304498 Enrollment ID: I20130325000148 |
| Provider Name | Venitius D Nunez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407973035 PECOS PAC ID: 6507080876 Enrollment ID: I20140609000349 |
| Provider Name | Marcia Koetting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861694606 PECOS PAC ID: 5991026189 Enrollment ID: I20150529001834 |
| Provider Name | Daniel Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073897575 PECOS PAC ID: 7214244599 Enrollment ID: I20150918001099 |
| Provider Name | Cherokee Cabell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013415074 PECOS PAC ID: 4486081825 Enrollment ID: I20200225002420 |
| Provider Name | Steven Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245664341 PECOS PAC ID: 0648692939 Enrollment ID: I20200615001098 |
| Provider Name | Jacob Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427348762 PECOS PAC ID: 8921428939 Enrollment ID: I20201013001903 |
| Provider Name | Funmilayo J Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760719512 PECOS PAC ID: 1850683889 Enrollment ID: I20211021001006 |
| Provider Name | Alicia Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215669429 PECOS PAC ID: 9436533700 Enrollment ID: I20220906001400 |
| Provider Name | Michael D Borowiec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609173566 PECOS PAC ID: 7012368145 Enrollment ID: I20240112001640 |
| Provider Name | Holly Weiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982380895 PECOS PAC ID: 8224478789 Enrollment ID: I20240520001290 |
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