Provider Demographics
NPI:1699238741
Name:COMPREHENSIVE BEHAVIORAL HEALTH MEDICINE
Entity type:Organization
Organization Name:COMPREHENSIVE BEHAVIORAL HEALTH MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRITPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-924-0268
Mailing Address - Street 1:121 MOUNTAIN CT STE 114
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2317
Mailing Address - Country:US
Mailing Address - Phone:908-452-5262
Mailing Address - Fax:908-452-5221
Practice Address - Street 1:121 MOUNTAIN CT STE 114
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2317
Practice Address - Country:US
Practice Address - Phone:908-452-5262
Practice Address - Fax:908-452-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-07
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049406Medicaid