NPIMap

Organization Active NPI

Community Psychiatric Institute

  • Substance Abuse Rehabilitation Facility
  • East Orange, NJ
National Provider Identifier
1487147351
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2000338 Issued in NJ
Legal business name
COMMUNITY PSYCHIATRIC INSTITUTE
Practice address
67 Sanford St
East Orange, NJ 07018-1926
Phone
(973) 673-3342
NPI assigned
Jun 14, 2018
Organization subpart
Yes
Parent organization
COMMUNITY PSYCHIATRIC INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
George Georgiou
Title
Mis Director
Phone
(973) 673-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 2000338 NJ Primary

Addresses

Primary practice location

67 Sanford St
East Orange, NJ 07018-1926

Mailing address

67 Sanford St
East Orange, NJ 07018-1926
Phone (973) 673-3342

Other identifiers 1

IdentifierTypeStateIssuer
0016004MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Community Psych Inst3 organizations share this tax ID, including this one
Part of
Community Psych Inst

Other organizations with this tax ID 2

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

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": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1487147351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181926",
            "telephone_number": "973-673-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181926",
            "telephone_number": "973-673-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PSYCHIATRIC INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PSYCHIATRIC INSTITUTE",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "GEORGIOU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MIS DIRECTOR",
        "authorized_official_telephone_number": "973-673-3342"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016004",
            "state": "NJ"
        }
    ],
    "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 Jun 14, 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.