Provider Demographics
NPI:1427577097
Name:INSIGHT BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:INSIGHT BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:844-674-4448
Mailing Address - Street 1:78 JOHN MILLER WAY STE 314
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-6533
Mailing Address - Country:US
Mailing Address - Phone:844-674-4448
Mailing Address - Fax:844-674-4448
Practice Address - Street 1:78 JOHN MILLER WAY
Practice Address - Street 2:SUITE 314
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032
Practice Address - Country:US
Practice Address - Phone:844-674-4448
Practice Address - Fax:844-674-4448
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPOWER U.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1467837104Medicaid