Active NPI
Montclair Therapy Center LLC
- Adult Mental Health Clinic/Center
- Bloomfield, NJ
National Provider Identifier
1568360964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MONTCLAIR THERAPY CENTER LLC
- Practice address
- 400 Broadacres Dr Ste 200
Bloomfield, NJ 07003-3156 - Phone
- (781) 475-8000
- NPI assigned
- Oct 27, 2026
- Last updated
- Oct 27, 2026
- 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
- Jennifer Moore
- Title
- Director
- Phone
- (781) 475-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
400 Broadacres Dr Ste 200
Bloomfield, NJ 07003-3156
Mailing address
400 Broadacres Dr Ste 200
Bloomfield, NJ 07003-3156
Phone (781) 475-8000
National Provider Directory
National Provider DirectoryLocations
400 Broadacres Dr
Ste 200
Bloomfield, NJ 07003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793059200000",
"number": "1568360964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROADACRES DR STE 200",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033156",
"telephone_number": "781-475-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BROADACRES DR STE 200",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033156",
"telephone_number": "781-475-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTCLAIR THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-27",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "781-475-8000"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.