Active NPI
Recovery MHS
- Psychiatric/Mental Health Nurse Practitioner
- Montclair, NJ
National Provider Identifier
1508628884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RECOVERY MHS
- Practice address
- 28 Valley Rd
Montclair, NJ 07042-2709 - Phone
- (917) 530-2138
- Fax
- (973) 627-9454
- NPI assigned
- Jan 23, 2024
- 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
- Shawn Joseph
- Title
- Psychiatric Nurse Practitioner
- Phone
- (917) 530-2138
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
28 Valley Rd
Montclair, NJ 07042-2709
Mailing address
10 Coolidge St
Irvington, NJ 07111-1108
Phone (917) 530-2138
Other practice location 1
11835 Queens Blvd
Forest Hills, NY 11375-7200
Phone (917) 530-2138
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Montclair, NJ
- NPI 1548913486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1508628884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COOLIDGE ST",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111108",
"telephone_number": "917-530-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422709",
"telephone_number": "917-530-2138",
"fax_number": "973-627-9454"
}
],
"practiceLocations": [
{
"address_1": "11835 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113757200",
"country_code": "US",
"telephone_number": "917-530-2138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RECOVERY MHS",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "917-530-2138"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 23, 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.