Organization
VERICARE BEHAVIORAL HEALTH OF NEW JERSEY
Active
Other names
VERICARE
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT O VOIT (ASSISTANT SECRETARY)
(800) 257-8715
Entity
Organization
Contact information
Practice address
3161 KENNEDY BLVD, STE 230, NORTH BERGEN, NJ 07047-2303
(800) 257-8715
(800) 819-1655
Mailing address
4715 VIEWRIDGE AVE, STE 230, SAN DIEGO, CA 92123-1658
(800) 257-8715
(800) 819-1655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
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
02/26/2016
Last updated
02/26/2016
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