NPIMap

Organization Active NPI

Happy Mango Mental Health PC

Doing business as Ellie Mental Health

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1710695044
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAPPY MANGO MENTAL HEALTH PC
Doing business as
Ellie Mental Health
Practice address
26 Madison Ave Ste 6
Morristown, NJ 07960-7366
Phone
(973) 490-4284
Fax
(973) 363-9616
NPI assigned
Nov 7, 2022
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
David Wong
Title
Cfo
Phone
(212) 459-9264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

26 Madison Ave Ste 6
Morristown, NJ 07960-7366

Mailing address

286 Old Somerset Rd
Watchung, NJ 07069-6056
Phone (212) 459-9264

Other practice location 1

10 Lanidex Plz W Ste 120
Parsippany, NJ 07054-0221
Phone (862) 356-6059

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030002167 NJ Part B Supplier - Clinic/Group Practice 3678929593 Receives reassigned benefits from 13 practitioners
Practice locations: Basking Ridge, NJ; Parsippany, NJ; Morristown, NJ

National Provider Directory

National Provider Directory

Locations

222 Mount Airy Rd
Basking Ridge, NJ 07920
Phone (908) 350-9143

10 Lanidex Plz W
Ste 120
Parsippany, NJ 07054
Phone (862) 356-6059

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1710695044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 OLD SOMERSET RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696056",
            "telephone_number": "212-459-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MADISON AVE STE 6",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607366",
            "telephone_number": "973-490-4284",
            "fax_number": "973-363-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Lanidex Plz W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070540221",
            "country_code": "US",
            "telephone_number": "862-356-6059",
            "fax_number": "973-363-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAPPY MANGO MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-459-9264"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.