Catholic Community Services Mt Carmel Guild of Arch of Newark

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

CATHOLIC COMMUNITY SERVICES MT CARMEL GUILD OF ARCH OF NEWARK

Practice address

1160 Raymond Blvd
Newark, NJ 07102-4168

Phone

(973) 596-4103

Fax

(973) 596-4101

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John W Westervelt, BS

Title

Cfo/VP Support Services

Phone

(973) 596-3984

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1255439287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 RAYMOND BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024168",
            "telephone_number": "973-596-4103",
            "fax_number": "973-596-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 RAYMOND BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024168",
            "telephone_number": "973-596-4103",
            "fax_number": "973-596-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES MT CARMEL GUILD OF ARCH OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "WESTERVELT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO/VP SUPPORT SERVICES",
        "authorized_official_telephone_number": "973-596-3984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3685101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathedral Physician Services, P.C.
• Catholic Charities of Archiodese of Newark
• Catholic Charities of the Archdiocese of Newark
• Catholic Charities of the Archdiocese of Newark
• Catholic Charities of the Archdiocese of Newark
• Monica Patricia Cativo, M.D.
• Lisa Michelle Catlin, LCSW
• Joseph Cavalieri
• Karla M Cayamcela
• CCN America LP

• All providers in Newark, NJ
• Psychiatric Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.