Active NPI
The Center for Optimum Living, Inc.
- Mental Health Counselor
- Kinnelon, NJ
National Provider Identifier
1215082268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00100000
- Legal business name
- THE CENTER FOR OPTIMUM LIVING, INC.
- Practice address
- 6 Hillside Rd
Kinnelon, NJ 07405-2306 - Phone
- (973) 838-8375
- Fax
- (973) 838-0603
- NPI assigned
- Jan 23, 2007
- 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
- Dr. Salvatore Charles Benanti, LPC
- Title
- Director
- Phone
- (973) 838-8375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00100000 | NJ | Primary |
Addresses
Primary practice location
6 Hillside Rd
Kinnelon, NJ 07405-2306
Mailing address
6 Hillside Rd
Kinnelon, NJ 07405-2306
Phone (973) 838-8375
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- West Caldwell, NJ
- NPI 1740417278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215082268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HILLSIDE RD",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052306",
"telephone_number": "973-838-8375",
"fax_number": "973-838-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HILLSIDE RD",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052306",
"telephone_number": "973-838-8375",
"fax_number": "973-838-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR OPTIMUM LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENANTI",
"authorized_official_first_name": "SALVATORE",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "973-838-8375",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00100000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.