# BENCIVENNE INSTITUTE FOR BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023101748
- **Authorized official:** DR. JOSEPH CHARLES BENCIVENNE PH.D. (OWNER)
- **Authorized official phone:** (973) 771-9000

## Contact information

- **Practice address:** 1255 BROAD STREET, SUITE 206, BLOOMFIELD, NJ 07003
- **Practice address phone:** (973) 771-9000
- **Practice address fax:** (973) 771-9100
- **Mailing address:** 1051 COOLIDGE STREET, WESTFIELD, NJ 07090
- **Mailing address phone:** (908) 232-5080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 35S100392200 | NJ | — |
| 103TC0700X | Clinical Psychologist | 35S100392200 | NJ | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 35S100392200 | NJ | — |
| 103TF0000X | Family Psychologist | 35S100392200 | NJ | — |
| 103TF0200X | Forensic Psychologist | 35S100392200 | NJ | — |
| 103TH0100X | Health Service Psychologist | 35S100392200 | NJ | — |
| 106H00000X | Marriage & Family Therapist | 37F100140300 | NJ | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 09/11/2025