Active NPI
Community Psychiatric Institute
- Community/Behavioral Health Agency
- East Orange, NJ
National Provider Identifier
1811053101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 07181-01-05
- Legal business name
- COMMUNITY PSYCHIATRIC INSTITUTE
- Practice address
- 67 Sanford St
East Orange, NJ 07018-1926 - Phone
- (973) 673-3342
- Fax
- (973) 673-5612
- NPI assigned
- Dec 29, 2006
- 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
- Mr. Alan N. Furst, LCSW
- Title
- Executive Director
- Phone
- (973) 673-3342
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 07181-01-05 | NJ | Primary |
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
67 Sanford St
East Orange, NJ 07018-1926
Mailing address
67 Sanford St
East Orange, NJ 07018-1926
Phone (973) 673-3342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016004 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Community Psych Inst
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- East Orange, NJ
- NPI 1487147351
-
- Substance Abuse Rehabilitation Facility
- East Orange, NJ
- NPI 1568771921
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Substance Abuse Rehabilitation Facility
- East Orange, NJ
- NPI 1487147351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Egg Harbor Township, NJ
- NPI 1760868426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1811053101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SANFORD ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181926",
"telephone_number": "973-673-3342",
"fax_number": "973-673-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 SANFORD ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181926",
"telephone_number": "973-673-3342",
"fax_number": "973-673-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PSYCHIATRIC INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "FURST",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-673-3342",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "07181-01-05",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.