MEDICARE: NEUROPATH BEHAVIORAL HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	253Z00000X	In Home Supportive Care Agency
4	261QD1600X	Developmental Disabilities Clinic/Center
5	261Q00000X	Clinic/Center
6	252Y00000X	Early Intervention Provider Agency
7	261QM0850X	Adult Mental Health Clinic/Center
8	251J00000X	Nursing Care Agency
9	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
10	385H00000X	Respite Care
11	385HR2055X	Child Mental Illness Respite Care
12	261QM0855X	Adolescent and Children Mental Health Clinic/Center
13	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063122869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROPATH BEHAVIORAL HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	1095 MORRIS AVE STE 102
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7170
Country	:	US
Telephone Number	:	609-305-6044
Fax Number	:	609-337-5021

Provider Business Practice Location Address
First Line	:	1095 MORRIS AVE STE 102
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7170
Country	:	US
Telephone Number	:	609-305-6044
Fax Number	:	609-337-6572

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	MARVA C MCINTOSH
Credential	:
Telephone Number	:	609-305-6044

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	04/16/2026

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