Organization Active NPI

The Center for Optimum Living, Inc.

  • Mental Health Counselor
  • Kinnelon, NJ
National Provider Identifier
1215082268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00100000 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.