MH at Clark LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MH AT CLARK LLC

Practice address

60 Walnut Ave Ste 200
Clark, NJ 07066-1647

Phone

(732) 882-1920

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Stokes

Title

Ceo

Phone

(561) 318-4455

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1609267210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 302",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-318-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WALNUT AVE STE 200",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661647",
            "telephone_number": "732-882-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH AT CLARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-318-4455"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty C McLendon, PSYD
• Sophia McMullan
• Elaine A Melamud, M.D.
• Christina Mendes, M.S. CCC-SLP
• Jeffrey Merrick, LPC
• Ian Michael Michelin, LMSW
• Sabina Migdal
• Katelyn Miranda
• Mobile Medicare
• Pamela Molyneaux

• Addiction (Substance Use Disorder) Counselor in Clark, NJ
• Providers in Clark, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.