NPIMap

Organization Active NPI

Mount Carmel Guild Behavioral Health Systems

Doing business as Mount Carmel Guild Behavioral Health System

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1487720843
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEMS
Doing business as
Mount Carmel Guild Behavioral Health System
Practice address
47 Miller St
Newark, NJ 07114
Phone
(973) 522-2125
NPI assigned
Nov 28, 2006
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Mr. Abel Patton
Title
Compliance Office
Phone
(908) 497-3905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NJ Primary

Addresses

Primary practice location

47 Miller St
Newark, NJ 07114

Mailing address

590 N 7TH St
Newark, NJ 07107-2522
Phone (973) 266-7992

Other identifiers 1

IdentifierTypeStateIssuer
7350503MedicaidNJ

Other names 1

  • Mount Carmel Guild Behavioral Health System Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ccannj.org

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities25 organizations share this tax ID, including this one
Part of
Catholic Charities

Other organizations with this tax ID 24

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

View all 24

Locations

273 Oliver St
Newark, NJ 07105
Phone (973) 596-3835

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1487720843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N 7TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072522",
            "telephone_number": "973-266-7992",
            "fax_number": "973-596-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MILLER ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07114",
            "telephone_number": "973-522-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICE",
        "authorized_official_telephone_number": "908-497-3905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7350503",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ccannj.org",
            "affiliation": "N",
            "address_1": "47 Miller St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mount Carmel Guild Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Carmel Guild Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.