MEDICARE: CHARACTER & COMMUNITY BEHAVIORAL HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1518828961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARACTER & COMMUNITY BEHAVIORAL HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	151 PRESCOTT AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-3740
Country	:	US
Telephone Number	:	973-393-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 PRESCOTT AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-3740
Country	:	US
Telephone Number	:	973-393-1260
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	KIMBERLY SPELLER
Credential	:
Telephone Number	:	973-393-1260

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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