Active NPI
MMR Behavioral & Mental Health Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Union, NJ
National Provider Identifier
1114499670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MMR BEHAVIORAL & MENTAL HEALTH COUNSELING LLC
- Practice address
- 2143 Morris Ave Ste 4
Union, NJ 07083-6021 - Phone
- (908) 759-5782
- NPI assigned
- Dec 21, 2018
- Last updated
- Dec 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria M Runfolo-McCormack
- Title
- Owner
- Phone
- (908) 759-5782
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2143 Morris Ave Ste 4
Union, NJ 07083-6021
Mailing address
154 Country Club LN
Scotch Plains, NJ 07076-3122
National Provider Directory
National Provider DirectoryLocations
2143 Morris Ave
Ste 4
Union, NJ 07083
Phone (908) 759-5782
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Union, NJ
- NPI 1568673168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545350400000",
"number": "1114499670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 COUNTRY CLUB LN",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070763122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 MORRIS AVE STE 4",
"city": "UNION",
"state": "NJ",
"postal_code": "070836021",
"telephone_number": "908-759-5782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMR BEHAVIORAL & MENTAL HEALTH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-21",
"last_updated": "2018-12-21",
"status": "A",
"authorized_official_last_name": "RUNFOLO-MCCORMACK",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-759-5782"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.