Legend Psych LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LEGEND PSYCH LLC

Practice address

550 Kinderkamack Rd Ste 108
Oradell, NJ 07649-1500

Phone

(201) 523-4113

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Blake W Jonas, LMFTNPI 1891165700

Title

Owner

Phone

(201) 523-4113

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Blake W Jonas, LMFT

  • Marriage & Family Therapist
  • Oradell, NJ
  • NPI 1891165700
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1114519360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PROSPECT AVE APT 1",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461764",
            "telephone_number": "201-523-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD STE 108",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-523-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "JONAS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-523-4113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Laspisa
• Leading Edge Medical Center PC
• Hyuk Lee, DDS
• Jacqueline Lee
• Kangmin Daniel Lee, MD
• Bernadette Leighton, RNC
• Emily Rose Lenzetti
• Philip Raphael Lesorgen, M.D.
• Ellen Levine
• Zalman Levine, MD

• Adult Mental Health Clinic/Center in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.