Organization Active NPI

Mentalcare Peer Support Network

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
National Provider Identifier
1154824829
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTALCARE PEER SUPPORT NETWORK
Practice address
225 Williamson St
Elizabeth, NJ 07202-3625
Phone
(908) 531-8686
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jonathan MworiaNPI 1659872877
Title
Manager/Coordinator
Phone
(908) 531-8686

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

225 Williamson St
Elizabeth, NJ 07202-3625

Mailing address

526 Beverly Ave
Scotch Plains, NJ 07076-1614

Other practice location 1

1018 E Grand St
Elizabeth, NJ 07201-2618
Phone (908) 531-8686

Other practice location 2

40 Watchung Way
Berkeley Heights, NJ 07922-2600
Phone (908) 771-5700

National Provider Directory

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": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154824829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BEVERLY AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-531-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 E Grand St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012618",
            "country_code": "US",
            "telephone_number": "908-531-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Watchung Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079222600",
            "country_code": "US",
            "telephone_number": "908-771-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTALCARE PEER SUPPORT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MWORIA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER/COORDINATOR",
        "authorized_official_telephone_number": "908-531-8686"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.