Provider Demographics
NPI:1851677033
Name:VALEO BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:VALEO BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYANTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERIASAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-295-1008
Mailing Address - Street 1:2911 ROUTE 88
Mailing Address - Street 2:SUITE E8
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2871
Mailing Address - Country:US
Mailing Address - Phone:732-295-1008
Mailing Address - Fax:732-899-5733
Practice Address - Street 1:2911 ROUTE 88
Practice Address - Street 2:SUITE E8
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-2871
Practice Address - Country:US
Practice Address - Phone:732-295-1008
Practice Address - Fax:732-899-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0101017983103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty