Mental Healthcare Connections of New Jersey LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTAL HEALTHCARE CONNECTIONS OF NEW JERSEY LLC

Practice address

1020 Larsen Road
6305
Jackson, NJ 08527-1860

Phone

(856) 502-4777

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Sean Lee, L.S.W.NPI 1972120350

Title

Owner

Phone

(856) 502-4777

Specialties & licenses 1

Addresses

Tax ID family

Mental Healthcare Connections of New Jersey LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mental Healthcare Connections of New Jersey, LLC

  • Clinical Social Worker
  • Lake Como, NJ
  • NPI 1083223218
  NPD tax ID

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.

• Sean S. Lee, L.C.S.W.

  • Social Worker
  • Lake Como, NJ
  • NPI 1972120350
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1760081541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LARSEN ROAD",
            "address_2": "6305",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271860",
            "telephone_number": "856-502-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LARSEN ROAD",
            "address_2": "6305",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271860",
            "telephone_number": "856-502-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTHCARE CONNECTIONS OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-07-15",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-502-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Medina, DPT
• Josue Gabriel Medina
• Reva Mehl, OTR
• Sheyly Mejia
• Nissim Menashy, PHYSICIAN ASSISTANT
• Adam Metz
• Sara Metzger, M.S. CCC SLP
• Nicholas Daniel Migliaccio, BCBA
• Patrycja Mika
• Natalie Millan

• Community/Behavioral Health Agency in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.