Active NPI
Jason Diviney
- Mental Health Counselor
- Parsippany, NJ
National Provider Identifier
1083487292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00751000
- Practice address
- 4 Century Dr Ste 100
Parsippany, NJ 07054-4606 - Phone
- (732) 982-2888
- NPI assigned
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00751000 | NJ | Primary |
Addresses
Primary practice location
4 Century Dr Ste 100
Parsippany, NJ 07054-4606
Mailing address
4 Century Dr
Parsippany, NJ 07054-4606
Phone (865) 383-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rutgers New Jersey Medical School, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
773 Central Ave
Westfield, NJ 07090-2528
PO Box
Suite 809
Teaneck, NJ 07666
PO Box
Suite 809
Teaneck, NJ 07666-0809
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00751000 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Behavioral Health P.C | Current | Accepting new patients |
Locations
4 Century Dr
Ste 100
Parsippany, NJ 07054
Phone (844) 296-0630
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Westfield, NJ
- NPI 1598184780
-
- Psychologist
- Princeton Junction, NJ
- NPI 1538744297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1083487292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CENTURY DR",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544606",
"telephone_number": "865-383-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CENTURY DR STE 100",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544606",
"telephone_number": "732-982-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVINEY",
"first_name": "JASON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2024-02-29",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00751000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.