Organization Active NPI

Essence Mental Health Network

  • Clinical Social Worker
  • Suffern, NY
National Provider Identifier
1245988138
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ESSENCE MENTAL HEALTH NETWORK
Practice address
75 Montebello Rd
Suffern, NY 10901-3746
Phone
(845) 523-9600
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Yisroel Isaacs
Title
Ceo
Phone
(845) 523-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

75 Montebello Rd
Suffern, NY 10901-3746

Mailing address

75 Montebello Rd
Suffern, NY 10901-3746

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1245988138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MONTEBELLO RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTEBELLO RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109013746",
            "telephone_number": "845-523-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE MENTAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-523-9600"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.