NPIMap

Organization Active NPI

Associates in Mental Health and Developmental Disabilities, Inc

  • Case Management Agency
  • West Orange, NJ
National Provider Identifier
1770052540
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC
Practice address
81 Northfield Ave Ste 106
West Orange, NJ 07052-5343
Phone
(973) 676-8899
NPI assigned
Nov 21, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Martha K Adedoyin, MA, CSW, CBT, CCSPNPI 1104119130
Title
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Respite Care 385H00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

81 Northfield Ave Ste 106
West Orange, NJ 07052-5343

Mailing address

60 N Wyoming Ave
South Orange, NJ 07079-1526
Phone (973) 676-8899

Other identifiers 1

IdentifierTypeStateIssuer
09645257261532MedicaidNJ

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.

Locations

81 Northfield Ave
Ste 106
West Orange, NJ 07052
Phone (720) 385-3700

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": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1770052540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N WYOMING AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791526",
            "telephone_number": "973-676-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE STE 106",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525343",
            "telephone_number": "973-676-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-676-8899",
        "authorized_official_credential": "MA, CSW, CBT, CCSP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09645257261532",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.