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Organization Active NPI

Mount Carmel Guild Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield, NJ
National Provider Identifier
1669780730
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
03-00099 Issued in NJ
Legal business name
MOUNT CARMEL GUILD BEHAVIORAL HEALTH
Practice address
236 Hoover Ave
Bloomfield, NJ 07003-3831
Phone
(973) 693-6500
Fax
(973) 743-1675
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mr. John W Westervelt
Title
Chief Financial Officer
Phone
(973) 596-3984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 03-00099 NJ Primary

Addresses

Primary practice location

236 Hoover Ave
Bloomfield, NJ 07003-3831

Mailing address

590 N 7TH St
Newark, NJ 07107-2522
Phone (973) 596-4190

Other names 1

  • Catholic Community Services Mount Carmel Guild Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Guild Behavioral Health System25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

236 Hoover Ave
Bloomfield, NJ 07003
Phone (973) 693-6500

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1669780730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N 7TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072522",
            "telephone_number": "973-596-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 HOOVER AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033831",
            "telephone_number": "973-693-6500",
            "fax_number": "973-743-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL GUILD BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WESTERVELT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-596-3984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "03-00099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Community Services Mount Carmel Guild Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.