Private Care Management and Consultation Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05614400 Issued in NJ

Legal business name

PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES LLC

Doing business as

Private Care Management, LLC

Practice address

50 Northfield Ave
Ste 4
West Orange, NJ 07052-5320

Phone

(973) 419-0395

Fax

(973) 676-6939

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Abbott, LCSW

Title

Ceo

Phone

(973) 419-0395

Specialties & licenses 1

Addresses

Other names 1

• Private Care Management, LLC Doing business as

Tax ID family

Private Care Management and Consultation Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Private Care Management and Consultation Services LLC

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1154719904
  NPD tax ID

Locations

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1114453313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTHFIELD AVE",
            "address_2": "STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525320",
            "telephone_number": "973-419-0395",
            "fax_number": "973-676-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTHFIELD AVE",
            "address_2": "STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525320",
            "telephone_number": "973-419-0395",
            "fax_number": "973-676-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-419-0395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05614400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Care Management, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primal Integrative Health LLC
• Primary Care Physicians Group, LLC
• Prime Health Services
• Kerry Anne Prime
• Princeton Psychiatric Associates LLC
• Private Care Management and Consultation Services LLC
• Private Care Management and Consultation Services, LLC (Private Care Management, LLC)
• Professional Associates in Surgery, LLP
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC

• Community/Behavioral Health Agency in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.