Active NPI
Mental Health Association
- Exclusive Provider Organization
- Tinton Falls, NJ
National Provider Identifier
1417165358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- MENTAL HEALTH ASSOCIATION
- Practice address
- 106 Apple St Ste 110
Tinton Falls, NJ 07724-2670 - Phone
- (732) 542-6422
- NPI assigned
- May 21, 2007
- 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
- Mrs. Achille Dejean
- Title
- Executive Director
- Phone
- (732) 542-6422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Exclusive Provider Organization | 302F00000X | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024635 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Mental Health Association
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Tinton Falls, NJ
- NPI 1144027657
-
- Case Management Agency
- Tinton Falls, NJ
- NPI 1407387640
-
- Mental Health Counselor
- Tinton Falls, NJ
- NPI 1841701083
Locations
59 Broad St
Eatontown, NJ 07724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1417165358",
"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"
},
{
"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": [],
"basic": {
"organization_name": "MENTAL HEALTH ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"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",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0024635",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
- Stephanie Mechmann, LAC
- Monica Medlicott
- Melanie Gail Sidran Mehle, FNP
- Anuj Vishanraj Mehta, M.D.
- Angela Theresa Mele-Craig
- Mental Health Association of Monmouth County
- Mental Health Association of Monmouth County
- Mental Health Association of Monmouth County
- Michael Angelo Pathways
- Mid Atlantic Rehabilitation Consultants, LLC
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.