NPIMap

Organization Active NPI

Private Care Management and Consultation Services LLC

  • Community/Behavioral Health Agency
  • West Orange, NJ
National Provider Identifier
1154719904
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05614400 Issued in NJ
Legal business name
PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES LLC
Practice address
5 Meade St
West Orange, NJ 07052-6003
Phone
(973) 420-7992
Fax
(973) 419-0395
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Ms. Cynthia Abbott, LCSWNPI 1013381201
Title
Director
Phone
(973) 420-7992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 44SC05614400 NJ
Community/Behavioral Health Agency 251S00000X 44SC05614400 NJ Primary

Addresses

Primary practice location

5 Meade St
West Orange, NJ 07052-6003

Mailing address

5 Meade St
West Orange, NJ 07052-6003
Phone (973) 420-7992

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1154719904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEADE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526003",
            "telephone_number": "973-420-7992",
            "fax_number": "973-419-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEADE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526003",
            "telephone_number": "973-420-7992",
            "fax_number": "973-419-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-420-7992",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "44SC05614400",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05614400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.