Active NPI
Om Psychotherapy Group, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Metuchen, NJ
National Provider Identifier
1770003048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OM PSYCHOTHERAPY GROUP, LLC
- Practice address
- 35 Amboy Ave
Metuchen, NJ 08840-2578 - Phone
- (848) 200-5533
- NPI assigned
- Jun 27, 2017
- 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
- Melissa Barna, L.C.S.W.
- Title
- Licensed Clinical Social Worker
- Phone
- (848) 200-5533
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
35 Amboy Ave
Metuchen, NJ 08840-2578
Mailing address
35 Amboy Ave
Metuchen, NJ 08840-2578
Phone (848) 200-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Edison, NJ
- NPI 1396142519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1770003048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402578",
"telephone_number": "848-200-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402578",
"telephone_number": "848-200-5533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OM PSYCHOTHERAPY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BARNA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "848-200-5533",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.