Active NPI
Wecare Alliance for Mental Health
- Assistant Behavior Analyst
- Perth Amboy, NJ
National Provider Identifier
1295219376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Legal business name
- WECARE ALLIANCE FOR MENTAL HEALTH
- Practice address
- 704 Wharfside CT
Perth Amboy, NJ 08861-2999 - Phone
- (732) 661-6698
- NPI assigned
- Sep 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy N Momanyi
- Title
- Ceo
- Phone
- (917) 250-0095
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Assistant Behavior Analyst | 106E00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
704 Wharfside CT
Perth Amboy, NJ 08861-2999
Mailing address
704 Wharfside CT
Perth Amboy, NJ 08861-2999
Phone (732) 661-6698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0640646 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Wecare Alliance for Mental Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Rahway, NJ
- NPI 1447750153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1295219376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 WHARFSIDE CT",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612999",
"telephone_number": "732-661-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 WHARFSIDE CT",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088612999",
"telephone_number": "732-661-6698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WECARE ALLIANCE FOR MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "MOMANYI",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-250-0095"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0640646",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.