NPIMap

Organization Active NPI

Associates in Mental Health and Developmental Disabilities, Inc.

  • Home Health Agency
  • Orange, NJ
National Provider Identifier
1790282226
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
44SC00354400 Issued in NJ
Legal business name
ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC.
Practice address
370 Berkeley Rd
Orange, NJ 07050
Phone
(973) 677-7979
Fax
(973) 677-9877
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Martha Adedoyin, MA, CSW, CBT, CCT, CNPI 1104119130
Title
Founder/President 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 44SC00354400 NJ Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

370 Berkeley Rd
Orange, NJ 07050

Mailing address

370 Berkeley Rd
Orange, NJ 07050
Phone (973) 677-7979

Other identifiers 1

IdentifierTypeStateIssuer
0433365MedicaidNJ

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.

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": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1790282226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BERKELEY RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-677-7979",
            "fax_number": "973-677-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BERKELEY RD",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-677-7979",
            "fax_number": "973-677-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT CEO",
        "authorized_official_telephone_number": "973-676-8899",
        "authorized_official_credential": "MA, CSW, CBT, CCT, C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "44SC00354400",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433365",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.