Provider Demographics
NPI:1659969582
Name:CENTER FOR COGNITIVE BEHAVIOR THERAPY
Entity Type:Organization
Organization Name:CENTER FOR COGNITIVE BEHAVIOR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANCBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-994-3456
Mailing Address - Street 1:131 BENNER ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2206
Mailing Address - Country:US
Mailing Address - Phone:201-696-0655
Mailing Address - Fax:
Practice Address - Street 1:190 ROUTE 18
Practice Address - Street 2:SUITE 203
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-994-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)