NPIMap

Organization Active NPI

Family Connections, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, NJ
National Provider Identifier
1417476946
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
950030204 Issued in NJ
Legal business name
FAMILY CONNECTIONS, INC.
Practice address
395 S Center St
Orange, NJ 07050-3205
Phone
(973) 675-3817
Fax
(973) 266-1041
NPI assigned
Sep 15, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jacques Hryshko, LPC, ACS
Title
Executive Director
Phone
(973) 323-3439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 950030204 NJ Primary

Addresses

Primary practice location

395 S Center St
Orange, NJ 07050-3205

Mailing address

7 Glenwood Ave Ste 101
East Orange, NJ 07017-1041
Phone (973) 675-3817

Other practice location 1

7 Glenwood Ave Ste 101
East Orange, NJ 07017-1041
Phone (973) 323-3438

Other identifiers 1

IdentifierTypeStateIssuer
0397482MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Family Connections Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1417476946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVE STE 101",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171041",
            "telephone_number": "973-675-3817",
            "fax_number": "973-266-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-266-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Glenwood Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070171041",
            "country_code": "US",
            "telephone_number": "973-323-3438",
            "fax_number": "973-266-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HRYSHKO",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-323-3439",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "950030204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397482",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.