NPIMap

Organization Active NPI

Mental Health Association of Monmouth County

  • Case Management Agency
  • Tinton Falls, NJ
National Provider Identifier
1407387640
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
202110148 Issued in NJ
Legal business name
MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY
Practice address
106 Apple St Ste 110
Tinton Falls, NJ 07724-2670
Phone
(732) 542-6422
NPI assigned
Mar 21, 2017
Organization subpart
Yes
Parent organization
MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Achille Dejean
Title
Executive Director
Phone
(732) 542-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 202110148 NJ Primary

Addresses

Primary practice location

106 Apple St Ste 110
Tinton Falls, NJ 07724-2670

Mailing address

106 Apple St Ste 110
Tinton Falls, NJ 07724-2670
Phone (732) 542-6422

Other practice location 1

119 Avenue At The Cmn
Suite 5
Shrewsbury, NJ 07702-4586
Phone (732) 542-6422 ext. 102

Other identifiers 1

IdentifierTypeStateIssuer
0024635MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Association4 organizations share this tax ID, including this one
Part of
Mental Health Association

Other organizations with this tax ID 3

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

Locations

119 Avenue At the Cmn
Ste 5
Shrewsbury, NJ 07702
Phone (609) 388-8701

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1407387640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 110",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-542-6422",
            "fax_number": "732-542-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 110",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670",
            "telephone_number": "732-542-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Avenue At The Cmn",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024586",
            "country_code": "US",
            "telephone_number": "732-542-6422 x102",
            "fax_number": "732-542-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH ASSOCIATION OF MONMOUTH COUNTY",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "DEJEAN",
        "authorized_official_first_name": "ACHILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-542-6422"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "202110148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024635",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.