CLEAR WATERS BEHAVIORAL HEALTH PC – NPI #1477072106
Clinic/Center

CLEAR WATERS BEHAVIORAL HEALTH PC is an AHC clinic located in TINTON FALLS, NJ. NPPES has assigned the NPI number 1477072106 to CLEAR WATERS BEHAVIORAL HEALTH PC on September 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEAR WATERS BEHAVIORAL HEALTH PC below.

NPI Profile for
CLEAR WATERS BEHAVIORAL HEALTH PC

NPI Number
1477072106
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEAR WATERS BEHAVIORAL HEALTH PC
Primary location
615 HOPE RD STE 5B
TINTON FALLS, NJ 07724-1273
Phone: (732) 210-0509 Fax:
Mailing address
3 CORBETT WAY
EATONTOWN, NJ 07724-2283
Phone: Fax:
Organization Subpart
No
Authorized Official
PRITI KUMAR
BILLING SUPERVISOR
Phone: (732) 210-0509
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.