Organization Active NPI

Montclair Therapy Center LLC

  • Adult Mental Health Clinic/Center
  • Bloomfield, NJ
National Provider Identifier
1568360964
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.