Organization
BENCIVENNE INSTITUTE FOR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHARLES BENCIVENNE PH.D. (OWNER)
(973) 771-9000
Entity
Organization
Contact information
Practice address
1255 BROAD STREET, SUITE 206, BLOOMFIELD, NJ 07003
(973) 771-9000
(973) 771-9100
Mailing address
1051 COOLIDGE STREET, WESTFIELD, NJ 07090
(908) 232-5080
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
37F100140300
NJ
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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