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Organization
VERICARE BEHAVIORAL HEALTH OF NEW JERSEY, P.A.
Active
Organization
VERICARE BEHAVIORAL HEALTH OF NEW JERSEY, P.A.
Active
Other names
Rossi Psychological Group, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNETT O. VOIT (SECRETARY)
(800) 257-8715
Entity
Organization
Contact information
Practice address
4715 VIEWRIDGE AVE STE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(858) 874-8212
Mailing address
4715 VIEWRIDGE AVE, SUITE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(858) 874-8212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NJ
1041C0700X
Clinical Social Worker
—
NJ
2084P0800X
Psychiatry Physician
—
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242497
—
NJ
05
—
3172309
—
NJ
01
—
60043122
BCBS
NJ
01
—
CA5822
RAILROAD MEDICARE
NJ
Enumeration date
09/19/2008
Last updated
12/31/2015
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