ICBH
NPI 1770295941
Clinic/Center - Mental Health (Including Community Mental Health Center) in Red Bank, NJ
NPI Status: Active since December 20, 2022
Contact Information
130 MAPLE AVE STE WB2
RED BANK, NJ
ZIP 07701
Phone: (732) 668-4460
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About ICBH
This page provides the complete NPI Profile along with additional information for Icbh, a provider established in Red Bank, New Jersey operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1770295941 assigned on December 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Clarissa Mulligan Attara Phd, Lpc, Lcadc, Acs (Counselor, Supervisor, Educator)
- NPI
- 1770295941
- Provider Name
- ICBH
- Entity Type
- Organization
- Location Address
- 130 MAPLE AVE STE WB2 RED BANK, NJ 07701
- Location Phone
- (732) 668-4460
- Mailing Address
- 200 VILLAGE CENTER DR # 6722 FREEHOLD, NJ 07728
- Mailing Phone
- (732) 668-4460
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2022
- Last Update Date
- 12-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0450874979 | OTHER (01) | NJ | 0450874979 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 2 | 9 | 5 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 9 | 10 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 9 + 1 + 0 + 9 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1770295941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124737879 | GRACE AND HEALING LLC Organization | Community/Behavioral Health | 130 MAPLE AVE STE WB2 RED BANK, NJ 07701 (201) 528-3315 |
| 1992460232 | BRENDA A DOS SANTOS LPC LCADC NCC CCS Individual | Community/Behavioral Health | 130 MAPLE AVE STE WB2 RED BANK, NJ 07701 (201) 528-3315 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770295941, enumerated in the NPI registry as an "organization" on December 20, 2022
The provider is located at 130 Maple Ave Ste Wb2 Red Bank, Nj 07701 and the phone number is (732) 668-4460
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 20, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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