The Family Center at Montclair

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08328300 Issued in NJ

Legal business name

THE FAMILY CENTER AT MONTCLAIR

Practice address

155 Pompton Ave
Suite 202
Verona, NJ 07044-2942

Phone

(973) 857-5333

Fax

(973) 857-5338

NPI assigned

Feb 28, 2013

Organization subpart

Yes

Parent organization

THE FAMILY CENTER AT MONTCLAIRAs reported in NPPES

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

Authorized official

Name

Kimberly Ellen Pope

Title

Manager

Phone

(973) 857-5333

Specialties & licenses 1

Addresses

Tax ID family

The Family Center at Montclair3 organizations share this tax ID, including this one

Part of

The Family Center at Montclair

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Family Center

  • Psychiatry Physician
  • Verona, NJ
  • NPI 1245646132
  NPD tax ID
• The Family Center at Montclair

  • Community/Behavioral Health Agency
  • Montclair, NJ
  • NPI 1912063462
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Family Center at Montclair

  • Community/Behavioral Health Agency
  • Montclair, NJ
  • NPI 1912063462
  NPPES parent name

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1285974154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "address_2": "SUITE 202",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-857-5333",
            "fax_number": "973-857-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POMPTON AVE",
            "address_2": "SUITE 202",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442942",
            "telephone_number": "973-857-5333",
            "fax_number": "973-857-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY CENTER AT MONTCLAIR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE FAMILY CENTER AT MONTCLAIR",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-857-5333"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08328300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Tan, MD
• Terrys Family Pharmacy Inc
• The Arc of Essex County, Inc.
• The Borough of Verona
• The Family Center
• The Sorger Group, LLC
• Sara B. Thompson, APRN-C
• Sharon Gale Tobias, PH.D.
• Carmelyn D. Tobin, P.T.
• Laura D Tobin, N.P.

• Psychiatry Physician in Verona, NJ
• Providers in Verona, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.