Mental Health Clinic of Elizabeth, NJ Incorporated

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00477000 Issued in NJ

Legal business name

MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED

Practice address

520 Westfield Ave
Elizabeth, NJ 07208-1658

Phone

(908) 466-8484

Fax

(908) 466-8483

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Urmi Parikh

Title

Office Manager

Phone

(732) 322-3454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Azuka Ofodike

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
  • NPI 1922422617
  Medicare reassignment NPD

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1134627979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE STE 303",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081646",
            "telephone_number": "908-469-8483",
            "fax_number": "908-469-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-466-8484",
            "fax_number": "908-466-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "URMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-322-3454"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00477000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Mejias, LSW
• Adelaide Melendez
• Dana Melici, LSW
• Ela Mendez
• Aravind Menon, MD
• Mentalcare Peer Support Network
• Jazmin Mercado, MD
• Mercy Medical Response
• Mercy Recovery Center,LLC
• Josuee Anne Mertyl, PHARM-D

• Psychiatric/Mental Health Nurse Practitioner in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.