FAMILY SERVICE ASSOCIATION
NPI 1912958513
Clinic/Center - Mental Health (Including Community Mental Health Center) in Galloway, NJ

NPI Status: Active since May 16, 2006

Contact Information

312 E WHITE HORSE PIKE
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-1600
Fax: (609) 652-2226

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...
Accepts Insurance

About FAMILY SERVICE ASSOCIATION

This page provides the complete NPI Profile along with additional information for Family Service Association, a provider established in Galloway, New Jersey operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1912958513 assigned on May 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Family Service Association operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jennie Echo Msw (Vp Of Clinical Services)

NPI: 1912958513
Provider Name: FAMILY SERVICE ASSOCIATION
Entity Type: Organization
Location Address: 312 E WHITE HORSE PIKE GALLOWAY, NJ 08205
Location Phone: (609) 652-1600
Location Fax: (609) 652-2226
Mailing Address: 3073 ENGLISH CREEK AVE STE 3 EGG HARBOR TWP, NJ 08234
Mailing Phone: (609) 569-0239
Mailing Fax: (609) 652-2226
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-16-2006
Last Update Date: 02-24-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	101YM0800X	Behavioral Health & Social Service Providers	Counselor Mental Health	N/A (NJ)
2	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center Adult Mental Health
3	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center Adolescent and Children Mental Health

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Premier Bronze HSA - EPO
Premier Bronze HSA + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JENNIE ECHO MSW
Authorized Official Title: VP OF CLINICAL SERVICES
Authorized Official Phone: (609) 569-0239

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
527355	MEDICARE PIN (08)	NJ
0024201	MEDICAID (05)	NJ

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	9	1	2	9	5	8	5	1	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	2	2	18	5	16	5	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 5 + 1 + 6 + 5 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1912958513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.