NPIMap

Organization Active NPI

Mental Health Association of Essex and Morris

  • Social Worker
  • Montclair, NJ
National Provider Identifier
1568825446
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05587900 Issued in NJ
Legal business name
MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS
Practice address
33 S Fullerton Ave
Montclair, NJ 07042
Phone
(973) 509-9777
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Diane Travers
Title
Program Director
Phone
(973) 509-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 44SC05587900 NJ Primary

Addresses

Primary practice location

33 S Fullerton Ave
Montclair, NJ 07042

Mailing address

33 S Fullerton Ave
Montclair, NJ 07042-3358
Phone (973) 509-9777

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Assn of Essex and Morris10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

33 S Fullerton Ave
Montclair, NJ 07042
Phone (973) 509-9777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1568825446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423358",
            "telephone_number": "973-509-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-509-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "973-509-9777"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05587900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 6, 2018; 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.