Real House Behavioral Services Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REAL HOUSE BEHAVIORAL SERVICES INC

Practice address

127 Pine St Ste 6
Montclair, NJ 07042-4868

Phone

(973) 746-2400

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Jerome Mitchell

Title

Coo

Phone

(914) 260-2255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1639850910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 6",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-746-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 6",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424868",
            "telephone_number": "973-746-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Pine St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424855",
            "country_code": "US",
            "telephone_number": "973-746-2400 x100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL HOUSE BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-260-2255"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Ratte, LCSW
• Erika Ravaioli
• Dominique Ravin
• Robert Raymond, PH.D.
• RC Counseling LLP
• Real House Inc
• Real House Inc
• Real House Inc.
• Real House Inc.
• Rebecca Gillespie LLC

• Adult Mental Health Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.