NPIMap

Organization Active NPI

Mentors Resource & Development Corp

  • Counseling Psychologist
  • Dingmans Ferry, PA
National Provider Identifier
1629106547
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS009154L Issued in PA
Legal business name
MENTORS RESOURCE & DEVELOPMENT CORP
Practice address
RR H2 Box 1016C
Emery Rd
Dingmans Ferry, PA 18328
Phone
(845) 344-0392
Fax
(845) 344-0392
NPI assigned
Mar 1, 2007
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Jay Herman Joerger, EDD
Title
Pres
Phone
(845) 344-0392

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 95311 NY
Counseling Psychologist 103TC1900X PS009154L PA Primary

Addresses

Primary practice location

RR H2 Box 1016C
Emery Rd
Dingmans Ferry, PA 18328

Mailing address

RR #2 Box 1016C
Emery Rd
Dingmans Ferry, PA 18328
Phone (845) 344-0392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1629106547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR #2 BOX 1016C",
            "address_2": "EMERY RD",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "18328",
            "telephone_number": "845-344-0392",
            "fax_number": "845-344-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR H2 BOX 1016C",
            "address_2": "EMERY RD",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "18328",
            "telephone_number": "845-344-0392",
            "fax_number": "845-344-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTORS RESOURCE & DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "JOERGER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "845-344-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "95311",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS009154L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.