Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Behavioral Health Physician PLLC

Organization Psychologist · NPI 1194697201

Behavioral Health Physician PLLC is a Psychologist in Lakewood, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2013 Cedarbridge Ave
Lakewood, NJ 08701-7050
Phone: (212) 734-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1194697201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Montville — Owner · (612) 805-7008
NPI enumeratedSeptember 18, 2025
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address11 S Union St, Cambridge, NY 12816-1008

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