NPIMap

Organization Active NPI

Mental Health Association of Essex and Morris

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montclair, NJ
National Provider Identifier
1427320357
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
26NJ00355200 Issued in NJ
Legal business name
MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS
Practice address
33 S Fullerton Ave
Montclair, NJ 07042
Phone
(973) 674-8067
Fax
(973) 677-7719
NPI assigned
Feb 8, 2012
Organization subpart
Yes
Parent organization
MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Olufunmilayo O Ilori, APRN, PMHNP-BC
Title
Advanced Practice Nurse
Phone
(973) 674-8067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 26NJ00355200 NJ Primary

Addresses

Primary practice location

33 S Fullerton Ave
Montclair, NJ 07042

Mailing address

424
Main Street
East Orange, NJ 07018
Phone (973) 674-8067

Other identifiers 2

IdentifierTypeStateIssuer
26NJ00355200OtherNJADVANCED PRACTICE WITH PRESCRIPTIVE AUTHORITY
P00440300OtherNJCDS REGISTRATION NUMBER

Other names 1

  • prospect house Other name

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Assn of Essex and Morris10 organizations share this tax ID, including this one
Part of
Mental Health Assn of Essex and Morris

Other organizations with this tax ID 9

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

Locations

424 Main St
East Orange, NJ 07018
Phone (973) 674-8067

Practitioners & affiliated clinicians

Practitioners 7

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": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427320357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424",
            "address_2": "MAIN STREET",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-674-8067",
            "fax_number": "973-677-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-674-8067",
            "fax_number": "973-677-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS",
        "enumeration_date": "2012-02-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ILORI",
        "authorized_official_first_name": "OLUFUNMILAYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "973-674-8067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "26NJ00355200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE WITH PRESCRIPTIVE AUTHORITY",
            "identifier": "26NJ00355200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS REGISTRATION NUMBER",
            "identifier": "P00440300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prospect house",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "prospect house",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; 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.