AXXIOM BEHAVIORIAL HEALTH LLC (NPI# 1558892737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558892737 |
| Entity Type | Organization |
| Organization Name | AXXIOM BEHAVIORIAL HEALTH LLC |
| Practice Address |
241 Shepard Ave Fl 2 East Orange NJ 07018-2416 |
| Practice Telephone | 9732045060 |
| Mailing Telephone | 9732045060 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | MR. DAMON K CEASER (PRESIDENT, CEO, AND CHAIRMAN) |
| Authorized Official Telephone | 9732045060 |
| Is Organization Subpart | Y |
| Parent Organization Name | AXXIOM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| Street Address |
241 SHEPARD AVE FL 2 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469408 | Axxiom Healthcare LLC | Home Health | 241 Shepard Ave, Fl 2, East Orange, NJ 07018-2416 | 2017-03-28 |
| 1760913941 | Axxiom Developmental Disability Services LLC | Day Training, Developmentally Disabled Services | 241 Shepard Ave, Fl 2, East Orange, NJ 07018-2416 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881737 | Connected Behavioral Care | Community/Behavioral Health | 59 N Maple Ave, East Orange, NJ 07017-4307 | 2019-10-07 |
| 1861057564 | Rise Therapeutic Solutions | Community/Behavioral Health | 59 Ellington St Fl 1, East Orange, NJ 07017-5502 | 2019-05-08 |
| 1336629013 | Tasia C Fields | Community/Behavioral Health | 45 Bedford St, East Orange, NJ 07018-1841 | 2018-08-21 |
| 1053898452 | Quality Touch Community Care LLC | Community/Behavioral Health | 185 Central Ave Ste 400, East Orange, NJ 07018-3317 | 2018-07-27 |
| 1801386248 | Obliged-pro1 Instidute Limited Liability Company | Community/Behavioral Health | 66 N Grove St, East Orange, NJ 07017-4760 | 2018-05-11 |
| 1518472034 | Heart To Heart Health Care Services, LLC | Community/Behavioral Health | 576 Central Ave Ste 301, East Orange, NJ 07018-1943 | 2017-12-06 |
| 1326557307 | Family Connections, Inc. | Community/Behavioral Health | 280 S Harrison St Fl 2, East Orange, NJ 07018-1960 | 2017-09-22 |
| 1871012146 | Family Connections, Inc. | Community/Behavioral Health | 7 Glenwood Ave Ste 101&106, East Orange, NJ 07017-1055 | 2017-09-18 |
| 1861810434 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 72 Hawthorne Ave, East Orange, NJ 07018-4002 | 2014-04-01 |
| 1811053101 | Community Psychiatric Institute | Community/Behavioral Health | 67 Sanford St, East Orange, NJ 07018-1926 | 2006-12-29 |
| Find all providers in EAST ORANGE | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.