BEHAVIORAL HEALTH PHYSICIAN PLLC
NPI 1194697201
Psychologist in Lakewood, NJ

Active since September 18, 2025
2013 CEDARBRIDGE AVE, LAKEWOOD, NJ 08701(212) 734-6621 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Sep 18, 2025 (2 updates tracked since 2025).

About Behavioral Health Physician Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIORAL HEALTH PHYSICIAN PLLC (NPI 1194697201) is a healthcare organization registered as a psychologist in Lakewood, New Jersey and active in the NPI registry since September 2025. The organization lists Daniel Montville, Owner, as its authorized official.

NPPES Registry Identity

NPI1194697201
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBEHAVIORAL HEALTH PHYSICIAN PLLC
Location Address2013 CEDARBRIDGE AVELakewood, NJ 08701-7050
Mailing Address11 S Union StCambridge, NY 12816-1008
Organization SubpartNo
Authorized OfficialDaniel MontvilleOwner · (612) 805-7008
Enumeration DateSeptember 18, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1194697201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2013 CEDARBRIDGE AVE, Lakewood, NJ 08701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Behavioral Health Physician Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Behavioral Health Physician PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1639485022
125-06 101ST AVE
Richmond Hill, NY 11419
(718) 849-2900
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1124689948
1729 BURRSTONE RD
New Hartford, NY 13413
(315) 798-1597
✔ PECOS✔ Accepts Medicare224 mi
Nurse Practitioner
NPI 1578450656
161 CAREY RD
Queensbury, NY 12804
(518) 824-8610
✔ PECOS✔ Accepts Medicare231 mi
Nurse Practitioner
NPI 1578907044
133 PARK ST
Malone, NY 12953
(518) 483-3000
✔ PECOS✔ Accepts Medicare338 mi
Psychiatry
NPI 1952806093
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare981 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavioral Health Physician PLLC's NPI number?

The NPI number for Behavioral Health Physician PLLC is 1194697201. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Behavioral Health Physician PLLC located?

Behavioral Health Physician PLLC is located at 2013 Cedarbridge Ave, Lakewood, NJ 08701. The listed phone number is (212) 734-6621.

What is Behavioral Health Physician PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Behavioral Health Physician PLLC enrolled in Medicare?

Yes. Behavioral Health Physician PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Behavioral Health Physician PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Behavioral Health Physician PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Behavioral Health Physician PLLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.