NPIMap

Organization Active NPI

Mental Health Association of Essex and Morris, Inc.

  • Mental Health Counselor
  • Montclair, NJ
National Provider Identifier
1790721108
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
302090405 Issued in NJ
Legal business name
MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS, INC.
Practice address
33 S Fullerton Ave
Montclair, NJ 07042
Phone
(973) 509-9777
Fax
(973) 509-9218
NPI assigned
Jun 22, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Robert N. Davison
Title
Chief Executive Officer
Phone
(973) 509-9777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 302090405 NJ Primary
Case Management Agency 251B00000X 302090405 NJ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 302090405 NJ

Addresses

Primary practice location

33 S Fullerton Ave
Montclair, NJ 07042

Mailing address

33 S Fullerton Ave
Montclair, NJ 07042-3358
Phone (973) 509-9777

Other practice location 1

83 Spring St Ste 303
Newton, NJ 07860-2080
Phone (973) 509-9777

Other practice location 2

1160 Parsippany Blvd Fl 2
Parsippany, NJ 07054-1811
Phone (973) 509-9777

Other practice location 3

80 Main St
West Orange, NJ 07052-5460
Phone (973) 509-9777

Other practice location 4

424 Main St
East Orange, NJ 07018-3212
Phone (973) 509-9777

Other identifiers 3

IdentifierTypeStateIssuer
0017744MedicaidNJ
7370202MedicaidNJ
0021903MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000931 NJ Part B Supplier - Clinic/Group Practice 5597654293 Receives reassigned benefits from 19 practitioners
Practice locations: Montclair, NJ; East Orange, NJ

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Assn of Essex and Morris10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

424 Main St
East Orange, NJ 07018
Phone (973) 674-8067

33 S Fullerton Ave
Montclair, NJ 07042
Phone (973) 509-9777

Interoperability endpoints

  • Direct secure messaging: aborg-glickman@mhaessexmorris.medalliesdirect.net
  • Direct secure messaging: alim@mhaessexmorris.medalliesdirect.net
  • Direct secure messaging: jkimani@mhaessexmorris.medalliesdirect.net
  • Direct secure messaging: vhernandez@mhaessexmorris.medalliesdirect.net
  • Direct secure messaging: yzarski@mhaessexmorris.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1790721108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423358",
            "telephone_number": "973-509-9777",
            "fax_number": "973-509-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-509-9777",
            "fax_number": "973-509-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Spring St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078602080",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 Parsippany Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541811",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Main St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525460",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Main St",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070183212",
            "country_code": "US",
            "telephone_number": "973-509-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-509-9777"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "302090405",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "302090405",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "302090405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017744",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7370202",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.

Verify at the official NPI Registry.