NPIMap

Organization Active NPI

Montclair State University

Doing business as Center for Autism and Early Childhood Mental Health

  • Community/Behavioral Health Agency
  • Montclair, NJ
National Provider Identifier
1528328762
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00440900 Issued in NJ
Legal business name
MONTCLAIR STATE UNIVERSITY
Doing business as
Center for Autism and Early Childhood Mental Health
Practice address
Montclair State University
14 Normal Ave.
Montclair, NJ 07043-1624
Phone
(973) 655-6685
Fax
(973) 655-5376
NPI assigned
May 22, 2012
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTCLAIR STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Ms. Donna McMonagle
Title
Vice President for Finance and Trea
Phone
(973) 655-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37PC00440900 NJ Primary

Addresses

Primary practice location

Montclair State University
14 Normal Ave.
Montclair, NJ 07043-1624

Mailing address

Montclair State University
1 Normal Ave.
Montclair, NJ 07043-1624
Phone (973) 655-6685

Other names 2

  • Center for Autism and Early Childhood Mental Health Doing business as
  • Montclair State University Other name

National Provider Directory

National Provider Directory
Tax ID family
Montclair State University4 organizations share this tax ID, including this one
Part of
Montclair State University

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1528328762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONTCLAIR STATE UNIVERSITY",
            "address_2": "1 NORMAL AVE.",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431624",
            "telephone_number": "973-655-6685",
            "fax_number": "973-655-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTCLAIR STATE UNIVERSITY",
            "address_2": "14 NORMAL AVE.",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431624",
            "telephone_number": "973-655-6685",
            "fax_number": "973-655-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTCLAIR STATE UNIVERSITY",
        "enumeration_date": "2012-05-22",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MCMONAGLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE AND TREA",
        "authorized_official_telephone_number": "973-655-5105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00440900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Autism and Early Childhood Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montclair State University",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 11, 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.