NPIMap

Organization Active NPI

Ms Integrated Psychotherapy and Counseling LLC

Doing business as M&S Psychotherapy and Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Clifton, NJ
National Provider Identifier
1518434083
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MS INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC
Doing business as
M&S Psychotherapy and Counseling
Practice address
1157 Main Ave
Clifton, NJ 07011-2243
Phone
(973) 341-9869
Fax
(973) 689-7271
NPI assigned
Nov 1, 2018
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Gabriel MonteroNPI 1942522479
Title
Ceo
Phone
(973) 883-5175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1157 Main Ave
Clifton, NJ 07011-2243

Mailing address

1157 Main Ave
Clifton, NJ 07011-2243
Phone (973) 883-5175

Other practice location 1

320 Lafayette Ave
Hawthorne, NJ 07506-2506
Phone (973) 341-9869

Other identifiers 1

IdentifierTypeStateIssuer
062426MedicaidNJ

Other names 1

  • M&S Psychotherapy and Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
M S Psychotheraphy Counseling Integrated LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1157 Main Ave
Clifton, NJ 07011
Phone (973) 341-9869

320 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 341-9869

Practitioners & affiliated clinicians

Practitioners 2

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": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1518434083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-883-5175",
            "fax_number": "973-689-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-341-9869",
            "fax_number": "973-689-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NJ",
            "postal_code": "075062506",
            "country_code": "US",
            "telephone_number": "973-341-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MS INTEGRATED PSYCHOTHERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-883-5175"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062426",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M&S Psychotherapy and Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M&S Psychotherapy and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.