MLT Medical LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MLT MEDICAL LLC

Practice address

137 Main Road
Montville, NJ 07045

Phone

(201) 787-1148

NPI assigned

Sep 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Lynn Thorpe, MDNPI 1891956843

Title

Founder

Phone

(201) 787-1148

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lynn Thorpe, MD

  • Child & Adolescent Psychiatry Physician
  • Montville, NJ
  • NPI 1891956843
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504915200000",
    "number": "1023537164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MITCHELL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544311",
            "telephone_number": "201-787-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ROAD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "201-787-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-09",
        "last_updated": "2017-09-09",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-787-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Montville, NJ
• Providers in Montville, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.