Behavioral Health Physician PLLC
Psychologist in Lakewood, NJ. Organization (NPI-2).
NPI number1194697201
StatusActive
Last updated in NPPESApr 22, 2026
Details
- NPI
- 1194697201
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Physician PLLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2025
- Certification date
- Apr 22, 2026
- Last updated
- Apr 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
2013 Cedarbridge AveLakewood, NJ 08701-7050
Phone 212-734-6621
Mailing address
11 S Union StCambridge, NY 12816-1008
Authorized official
Daniel Montville
Owner
6128057008
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All 14 Psychologist providers in Lakewood · All 3,913 providers in Lakewood
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