Active NPI
Happy Mango Mental Health PC
- Clinical Social Worker
- Morristown, NJ
National Provider Identifier
1710695044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HAPPY MANGO MENTAL HEALTH PC
- Practice address
- 26 Madison Ave Ste 6
Morristown, NJ 07960-7366 - Phone
- (973) 490-4284
- Fax
- (973) 363-9616
- NPI assigned
- Nov 7, 2022
- 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
- David Wong
- Title
- Cfo
- Phone
- (212) 459-9264
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
222 Mount Airy Rd
Basking Ridge, NJ 07920
Phone (908) 350-9143
26 Madison Ave
Ste 6
Morristown, NJ 07960
Phone (973) 490-4284
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.
-
- Addiction (Substance Use Disorder) Counselor
- Belle Mead, NJ
- NPI 1083869184
NJ
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.