Provider Demographics
| NPI: | 1447020805 |
|---|---|
| Name: | VEEDEL BEHAVIORAL HEALTH LLC |
| Entity type: | Organization |
| Organization Name: | VEEDEL BEHAVIORAL HEALTH LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | NURSE PRACTITIONER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | VIVIAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ADIELE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PMHNP-BC |
| Authorized Official - Phone: | 906-416-3001 |
| Mailing Address - Street 1: | 201 STRYKERS RD STE 19-218 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PHILLIPSBURG |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08865-5400 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 201 STRYKERS RD STE 19-218 |
| Practice Address - Street 2: | |
| Practice Address - City: | PHILLIPSBURG |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08865-5400 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 908-416-3001 |
| Practice Address - Fax: | 908-270-2557 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-01-08 |
| Last Update Date: | 2024-05-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | Methadone |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
| No | 273R00000X | Hospital Units | Psychiatric Unit | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
| No | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
