NPIMap

Organization Active NPI

Family Connections, Inc.

  • Community/Behavioral Health Agency
  • Orange, NJ
National Provider Identifier
1528118247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
950030204 Issued in NJ
Legal business name
FAMILY CONNECTIONS, INC.
Practice address
395 S Center St
Orange, NJ 07050-3205
Phone
(973) 675-3817
Fax
(973) 266-1041
NPI assigned
Jan 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jacques Hryshko, LPC, ACS
Title
Executive Director
Phone
(973) 675-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 950030204 NJ Primary

Addresses

Primary practice location

395 S Center St
Orange, NJ 07050-3205

Mailing address

395 S Center St
Orange, NJ 07050-3205
Phone (973) 675-3817

Other practice location 1

7 Glenwood Ave
Suite 101
East Orange, NJ 07017-1055
Phone (973) 675-3817

Other identifiers 1

IdentifierTypeStateIssuer
0007706MedicaidNJ

Other names 1

  • Family Service & Child Guidance Center of the Oranges, Maplewood & Mi Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000523 NJ Part B Supplier - Clinic/Group Practice 7517910011 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Orange, NJ; South Orange, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Connections Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528118247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-673-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-266-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Glenwood Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070171055",
            "country_code": "US",
            "telephone_number": "973-675-3817",
            "fax_number": "973-673-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HRYSHKO",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-675-3817",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "950030204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service & Child Guidance Center of the Oranges, Maplewood & Mi",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.