Organization Active NPI

Innovators in Mental Health

  • In Home Supportive Care Agency
  • East Orange, NJ
National Provider Identifier
1356121073
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INNOVATORS IN MENTAL HEALTH
Practice address
650 Park Ave Apt 201
East Orange, NJ 07017-1578
Phone
(862) 272-1580
NPI assigned
Oct 2, 2023
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Steronda BallewNPI 1073790010
Title
Owner
Phone
(973) 474-7680

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
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

650 Park Ave Apt 201
East Orange, NJ 07017-1578

Mailing address

650 Park Ave Apt 201
East Orange, NJ 07017-1578
Phone (862) 272-1580

National Provider Directory

National Provider Directory
Tax ID family
Innovators in Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1356121073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PARK AVE APT 201",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171578",
            "telephone_number": "862-272-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PARK AVE APT 201",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171578",
            "telephone_number": "862-272-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATORS IN MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "STERONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-474-7680"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.