Organization Active NPI

Elite Mental Health LLC

  • Adult Mental Health Clinic/Center
  • Ewing, NJ
National Provider Identifier
1245965862
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ELITE MENTAL HEALTH LLC
Practice address
795 Parkway Ave Unit 2
Ewing, NJ 08618-2704
Phone
(862) 781-3499
Fax
(862) 781-3501
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Monica AriyoNPI 1710558481
Title
Owner
Phone
(862) 781-3499

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

795 Parkway Ave Unit 2
Ewing, NJ 08618-2704

Mailing address

795 Parkway Ave Unit 2
Ewing, NJ 08618-2704
Phone (862) 781-3499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021002636 NJ Part B Supplier - Clinic/Group Practice 6103292768 Receives reassigned benefits from 1 practitioner
Practice locations: Ewing, NJ

National Provider Directory

National Provider Directory

Locations

795 Parkway Ave
Ste 2
Ewing, NJ 08618

Practitioners & affiliated clinicians

Practitioners 3

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1245965862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PARKWAY AVE UNIT 2",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182704",
            "telephone_number": "862-781-3499",
            "fax_number": "862-781-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PARKWAY AVE UNIT 2",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182704",
            "telephone_number": "862-781-3499",
            "fax_number": "862-781-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "ARIYO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-781-3499"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.