NPIMap

Organization Active NPI

Multicultural Counseling and Testing Center

  • Psychologist
  • Elizabeth, NJ
National Provider Identifier
1104111095
Registry record updated Jun 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4566 Issued in NJ
Legal business name
MULTICULTURAL COUNSELING AND TESTING CENTER
Practice address
893 Westfield Ave
Elizabeth, NJ 07208-1258
Phone
(973) 652-2753
Fax
(908) 998-1605
NPI assigned
Jun 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2011

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

Authorized official

Name
Dr. Ghislene Meance, PSY.D
Title
Owner
Phone
(973) 652-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4566 NJ Primary

Addresses

Primary practice location

893 Westfield Ave
Elizabeth, NJ 07208-1258

Mailing address

893 Westfield Ave
Elizabeth, NJ 07208-1258
Phone (973) 652-2753

Other identifiers 1

IdentifierTypeStateIssuer
6920520OtherNJAETNA BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Locations

371 Morris Ave
#2
Elizabeth, NJ 07208
Phone (908) 737-0921

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1308441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308441600000",
    "number": "1104111095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081258",
            "telephone_number": "973-652-2753",
            "fax_number": "908-998-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081258",
            "telephone_number": "973-652-2753",
            "fax_number": "908-998-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL COUNSELING AND TESTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-19",
        "last_updated": "2011-06-19",
        "status": "A",
        "authorized_official_last_name": "MEANCE",
        "authorized_official_first_name": "GHISLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-652-2753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "6920520",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; 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.