Organization
MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC
Active
Organization
MEDOP BEHAVIORAL HEALTH ASSOCIATES OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J DOOLEY (CFO)
(860) 370-3651
Entity
Organization
Contact information
Practice address
830 BEAR TAVERN RD, EWING, NJ 08628-1020
(800) 370-3651
(860) 510-0020
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/29/2011
Last updated
07/11/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up