Mental Health Clinic of Passaic Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

304050204 Issued in NJ

Legal business name

MENTAL HEALTH CLINIC OF PASSAIC INC

Practice address

1451 Van Houten Ave
Clifton, NJ 07013-2432

Phone

(973) 473-2775

Fax

(973) 473-3625

NPI assigned

Mar 12, 2007

Last updated

Apr 20, 2018By 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

Dr. Sybil Schreiber, D.SW

Title

Executive Director

Phone

(973) 473-2775

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/mhcp/r4/

Practitioners 32

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.

• Janet Amaro, M.D.

  • Psychiatry Physician
  • Englewood, NJ
  • NPI 1568416477
  Medicare reassignment NPD
• Ravinder N Bhalla, MD

  • Child & Adolescent Psychiatry Physician
  • Ridgewood, NJ
  • NPI 1841214566
  Medicare reassignment NPD
• Nora Ramos Mangunay, M.D.

  • Psychiatry Physician
  • Summit, NJ
  • NPI 1427094309
  Medicare reassignment NPD
• Milagros M Balboa-Hart

  • Social Worker
  • Passaic, NJ
  • NPI 1518516863
  NPD
• Miriam Beauchamp

  • Mental Health Counselor
  • Passaic, NJ
  • NPI 1780417014
  NPD
• Michelle A Gonzalez

  • Professional Counselor
  • Passaic, NJ
  • NPI 1063246676
  NPD
• Delilah Lopez, MA

  • Mental Health Counselor
  • Passaic, NJ
  • NPI 1023641180
  NPD
• Alexandra Marulanda

  • Mental Health Counselor
  • Passaic, NJ
  • NPI 1922830280
  NPD
• Cassandra Nunez, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Evesham, NJ
  • NPI 1053958140
  NPD
• Gabriela Ortiz, LPC, NCC

  • Professional Counselor
  • Passaic, NJ
  • NPI 1245814102
  NPD
• Lorenza Elena Paskas

  • Marriage & Family Therapist
  • Passaic, NJ
  • NPI 1831656776
  NPD
• Marisa Patrisso, LAC

  • Mental Health Counselor
  • Passaic, NJ
  • NPI 1013741727
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1619009701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 VAN HOUTEN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132432",
            "telephone_number": "973-473-2775",
            "fax_number": "973-473-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 VAN HOUTEN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132432",
            "telephone_number": "973-473-2775",
            "fax_number": "973-473-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CLINIC OF PASSAIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-473-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.SW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "304050204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014508",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089559",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021181",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Mendez, RDN
• Vonmarie Mendez
• Carlos Mendoza, MD
• Mental Health Association in Passaic County
• Mental Health Association of Essex and Morris
• Camille Mercado, MPSY., LPC
• Justin P Mercogliano
• Anitha Merugu
• Erica Kim Mesopotanese, PSY.D., BCBA
• Svetlana Mesterman, PHARMD

• Community/Behavioral Health Agency in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.