NPIMap

Organization Active NPI

Associates in Mental Health and Developmental Disabilities, Inc.

  • Mental Health Counselor
  • Orange, NJ
National Provider Identifier
1689727687
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
445C01377700 Issued in NJ
Legal business name
ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC.
Practice address
370 Berkeley Rd
Orange, NJ 07050
Phone
(973) 677-7979
Fax
(973) 677-7899
NPI assigned
Jan 21, 2007
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Miss Martha Adedoyin, MA,CSW, CBT, CCT, CCNPI 1104119130
Title
Founder/President Ceo
Phone
(973) 676-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 445C01377700 NJ Primary

Addresses

Primary practice location

370 Berkeley Rd
Orange, NJ 07050

Mailing address

370 Berkeley Rd
Orange, NJ 07050
Phone (973) 677-7979

Other identifiers 1

IdentifierTypeStateIssuer
0057193MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Associates in Mental Health and Developmental Disabilities Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1689727687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BERKELEY RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-677-7979",
            "fax_number": "973-677-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BERKELEY RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-677-7979",
            "fax_number": "973-677-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT CEO",
        "authorized_official_telephone_number": "973-676-8899",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA,CSW, CBT, CCT, CC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "445C01377700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057193",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.