Healthcare Provider Details

I. General information

NPI: 1922135490
Provider Name (Legal Business Name): INSIGHTS BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BRICK BLVD BLDG 4 SUITE 117
BRICK NJ
08723-7984
US

IV. Provider business mailing address

PO BOX 250
BRICK NJ
08723-0250
US

V. Phone/Fax

Practice location:
  • Phone: 732-920-9050
  • Fax: 732-920-9051
Mailing address:
  • Phone: 732-920-9050
  • Fax: 732-920-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN PARANA
Title or Position: COO
Credential:
Phone: 732-920-9050