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YMCA OF GREATER MONMOUTH COUNTY NPI 1548326069


NPI Information

NPI: 1548326069
Provider Name: YMCA OF GREATER MONMOUTH COUNTY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
166 MAIN ST
MATAWAN, NJ
ZIP 07747
Phone: (732) 290-9040
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YMCA OF GREATER MONMOUTH COUNTY is a community behavioral health in Matawan, NJ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. YMCA OF GREATER MONMOUTH COUNTY NPI is 1548326069. The provider is registered as an organization entity type.

The provider's business location address is:

166 MAIN ST
MATAWAN, NJ
ZIP 07747-104
Phone: (732) 290-9040
Fax: (732) 566-0433

The provider's authorized official is Leeann Wagner .
The authorized official title is Director Of Outpatient Services and has the following contact phone number (732) 290-9040.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health2000341NEW JERSEYNo
2251S00000XCommunity/Behavioral Health100050104NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10464872MEDICAIDNEW JERSEY
28815054MEDICAIDNEW JERSEY
30035807MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.