PARK PLACE
NPI 1952654972
Clinic/Center - Adult Mental Health in Asbury Park, NJ

Active since October 16, 2012
1011 BOND ST, ASBURY PARK, NJ 07712(732) 859-1794 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Place NPPES

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

PARK PLACE (NPI 1952654972) 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 Peter E Dougherty, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1952654972
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameERIDIAN BEHAVIORAL HEALTH
Location Address1011 BOND STAsbury Park, NJ 07712-5939
Mailing Address1011 Bond StAsbury Park, NJ 07712-5939 · (732) 859-1794
Organization SubpartYesParent: Meridian Health
Authorized OfficialPeter E DoughertyClinical Supervisor · (732) 869-2773
Enumeration DateOctober 16, 2012
NPI 1952654972 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
Licenses Licensed in NJ · 44SC05427900 Licensed in NJ · 37LC00188000
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

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.

Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Counselor (Mental Health)
1011 BOND ST
ASBURY PARK, NJ 07712
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712
Social Worker (Clinical)
1011 BOND ST
ASBURY PARK, NJ 07712

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 Eridian Behavioral Health's NPI number?

The NPI number for Eridian Behavioral Health is 1952654972. It was assigned to this organization in the NPPES registry on October 16, 2012. The provider is also known as Park Place.

Where is Eridian Behavioral Health located?

Eridian Behavioral Health is located at 1011 Bond St, Asbury Park, NJ 07712. The listed phone number is (732) 859-1794.

What is Eridian 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 Eridian Behavioral Health was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.