NPIMap

Organization Active NPI

Byrd'S of Paradise

  • Mental Health Counselor
  • West New York, NJ
National Provider Identifier
1063279040
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BYRD'S OF PARADISE
Practice address
5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522
Phone
(856) 383-6253
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mr. Jamal Stephon Stephens
Title
Chief Executive Officer
Phone
(856) 383-6253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522

Mailing address

5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522
Phone (856) 383-6253

National Provider Directory

National Provider Directory
Tax ID family
Byrd'S of Paradise4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1063279040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 BERGENLINE AVE UNIT 2",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935522",
            "telephone_number": "856-383-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 BERGENLINE AVE UNIT 2",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935522",
            "telephone_number": "856-383-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRD'S OF PARADISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "STEPHON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "856-383-6253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.