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ICBH
NPI 1770295941
Clinic/Center - Mental Health (Including Community Mental Health Center) in Red Bank, NJ

Active since December 20, 2022
130 MAPLE AVE STE WB2, RED BANK, NJ 07701(732) 668-4460 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Icbh NPPES

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

ICBH (NPI 1770295941) is a healthcare organization registered as a mental health (including community mental health center) in Red Bank, New Jersey and active in the NPI registry since December 2022. The organization lists Clarissa Mulligan Attara, Counselor, Supervisor, Educator, as its authorized official.

NPPES Registry Identity

NPI1770295941
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameICBH
Location Address130 MAPLE AVE STE WB2Red Bank, NJ 07701-1736
Mailing Address200 Village Center Dr, # 6722Freehold, NJ 07728-1702 · (732) 668-4460
Phone(732) 668-4460
Organization SubpartNo
Authorized OfficialClarissa Mulligan AttaraCounselor, Supervisor, Educator · (732) 668-4460
Enumeration DateDecember 20, 2022
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1770295941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
130 MAPLE AVE STE WB2, Red Bank, NJ 07701
Open in Google Maps ↗

Other Identifiers 1

Other0450874979NJ · 0450874979

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA SARANTINOUDIS-JONES
Lactation Consultant, Non-RN
130 MAPLE AVE STE WB2
RED BANK, NJ 07701
Monmouth County (732) 439-7972

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 Icbh's NPI number?

The NPI number for Icbh is 1770295941. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Icbh located?

Icbh is located at 130 Maple Ave Ste Wb2, Red Bank, NJ 07701. The listed phone number is (732) 668-4460.

What is Icbh's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Icbh was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.