NPIMap

Organization Active NPI

Janice Victor

  • Adult Mental Health Clinic/Center
  • Montclair, NJ
National Provider Identifier
1336579010
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
44SC00148700 Issued in NJ
Legal business name
JANICE VICTOR
Practice address
248 Lorraine Ave
Suite#3
Montclair, NJ 07043-1454
Phone
(862) 368-2670
Fax
(973) 744-3550
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Ms. Janice Marie Victor, LCSWNPI 1124003447
Title
Provider
Phone
(973) 744-3550

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 44SC00148700 NJ Primary

Addresses

Primary practice location

248 Lorraine Ave
Suite#3
Montclair, NJ 07043-1454

Mailing address

248 Lorraine Ave
Suite#3
Montclair, NJ 07043-1454
Phone (862) 368-2670

National Provider Directory

National Provider Directory

Locations

248 Lorraine Ave
Ste 3
Montclair, NJ 07043
Phone (862) 368-2670

Practitioners & affiliated clinicians

Practitioners 1

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1336579010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 LORRAINE AVE",
            "address_2": "SUITE#3",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431454",
            "telephone_number": "862-368-2670",
            "fax_number": "973-744-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LORRAINE AVE",
            "address_2": "SUITE#3",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431454",
            "telephone_number": "862-368-2670",
            "fax_number": "973-744-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE VICTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "973-744-3550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SC00148700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.