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PARK PLACE
NPI 1770836025
Clinic/Center - Adult Mental Health in Asbury Park, NJ

Active since October 24, 2012
1011 BOND ST, ASBURY PARK, NJ 07712(732) 869-2769(732) 897-9541 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Park Place NPPES

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

PARK PLACE (NPI 1770836025) is a healthcare organization registered as an adult mental health in Asbury Park, New Jersey and active in the NPI registry since October 2012. The organization lists Susan M Affa, Social Worker/intake Coordinator, as its authorized official.

NPPES Registry Identity

NPI1770836025
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMERIDIAN BEHAVIORAL HEALTH
Location Address1011 BOND STAsbury Park, NJ 07712-5939
Mailing Address1011 Bond StAsbury Park, NJ 07712-5939 · (732) 869-2769 · Fax (732) 897-9541
Phone(732) 869-2769
Fax(732) 897-9541
Organization SubpartYesParent: Meridian Health
Authorized OfficialSusan M AffaSocial Worker/intake Coordinator · (732) 869-2769
Enumeration DateOctober 24, 2012
✔ NPI 1770836025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NJ · 44SL05734800
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1011 BOND ST, Asbury Park, NJ 07712
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Other Names 1

Other NamePark Place

Other Providers at the Same Location NPPES 13

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

SUSAN HATAMI
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2769
MR. PETER BERING WEGENER BA PSYCHOLOGY
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2776
MRS. JOYCE P. ELLIS LCSW
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2780
MRS. SUZANNE VON BARGEN B.S., M.A.
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2783
MR. RUSSELL J SOTTILE LCSW
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2766
MS. PAULA ANDRIA BUCKNOR BA
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2770
MR. JAMES VOSS JR. LCSW
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2772
MR. MARK TIGHE SULLIVAN LCSW
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Monmouth County (732) 869-2781

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 Meridian Behavioral Health's NPI number?

The NPI number for Meridian Behavioral Health is 1770836025. It was assigned to this organization in the NPPES registry on October 24, 2012. The provider is also known as Park Place.

Where is Meridian Behavioral Health located?

Meridian Behavioral Health is located at 1011 Bond St, Asbury Park, NJ 07712. The listed phone number is (732) 869-2769.

What is Meridian Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Meridian Behavioral Health was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.