NPIMap

Organization Active NPI

Maryville, Inc

  • Adult Mental Health Clinic/Center
  • Turnersville, NJ
National Provider Identifier
1619728953
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARYVILLE, INC
Practice address
129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Phone
(856) 863-3913
NPI assigned
Mar 27, 2024
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mr. Christopher Donegan
Title
Controller
Phone
(856) 227-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777

Mailing address

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone (856) 227-2717

Other practice location 1

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone (856) 227-2717

Other practice location 2

1173 E Landis Ave Ste 202
Vineland, NJ 08360-4213
Phone (856) 690-1764

Other names 1

  • MARYVILLE ADDICTION Other name

National Provider Directory

National Provider Directory
Tax ID family
Maryville Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1173 E Landis Ave
Ste 202
Vineland, NJ 08360
Phone (855) 823-3428

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1619728953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S BURNT MILL RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432205",
            "telephone_number": "856-227-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD STE 7",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-863-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 S Burnt Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432205",
            "country_code": "US",
            "telephone_number": "856-227-2717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1173 E Landis Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083604213",
            "country_code": "US",
            "telephone_number": "856-690-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "DONEGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "856-227-2717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYVILLE ADDICTION",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MARYVILLE ADDICTION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.