Active NPI
Greenhouse for Mental Health Development P.C.
- Psychiatry Physician
- Mountain Lakes, NJ
National Provider Identifier
1629856299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GREENHOUSE FOR MENTAL HEALTH DEVELOPMENT P.C.
- Practice address
- 115 Route 46 W BLDG F
Mountain Lakes, NJ 07046-1668 - Phone
- (973) 722-0483
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ayodele Green, MD
- Title
- President
- Phone
- (973) 722-0483
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
115 Route 46 W BLDG F
Mountain Lakes, NJ 07046-1668
Mailing address
PO Box 282
Mountain Lakes, NJ 07046-0282
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1629856299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 282",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070460282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ROUTE 46 W BLDG F",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461668",
"telephone_number": "973-722-0483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENHOUSE FOR MENTAL HEALTH DEVELOPMENT P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "AYODELE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-722-0483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.