Integrated Care Concepts & Consultation, Llc | |
615 Hope Rd Building 1b, Second Floor Eatontown NJ 07724-1277 | |
(732) 389-0697 | |
(732) 389-0611 |
Full Name | Integrated Care Concepts & Consultation, Llc |
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Speciality | Counselor |
Location | 615 Hope Rd, Eatontown, New Jersey |
Authorized Official Name and Position | John Larry Thompson (OWNER) |
Authorized Official Contact | 7323890697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Care Concepts & Consultation, Llc 615 Hope Rd Building 1b, Second Floor Eatontown NJ 07724-1277 Ph: (732) 389-0697 | Integrated Care Concepts & Consultation, Llc 615 Hope Rd Building 1b, Second Floor Eatontown NJ 07724-1277 Ph: (732) 389-0697 |
NPI Number | 1639236516 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 02/19/2025 |
Certification Date | 02/19/2025 |
Medicare PECOS PAC ID | 6709303357 |
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Medicare Enrollment ID | O20250507000726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639236516 | NPI | - | NPPES |
Provider Name | John Larry Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538285911 PECOS PAC ID: 4284008053 Enrollment ID: I20230403001850 |
Provider Name | John Phillips Badenhausen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679627509 PECOS PAC ID: 1355871948 Enrollment ID: I20250212001637 |
Provider Name | Donna M Fontana |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922754183 PECOS PAC ID: 3072032069 Enrollment ID: I20250522001426 |
Provider Name | Michael Anthony Buccheri |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629501440 PECOS PAC ID: 6800305566 Enrollment ID: I20250603004092 |
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