Organization Active NPI

Community Psychiatric Institute

  • Community/Behavioral Health Agency
  • East Orange, NJ
National Provider Identifier
1811053101
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
07181-01-05 Issued in NJ
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

Updated by the provider on Feb 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0016004MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000030 NJ Part B Supplier - Clinic/Group Practice 0345305249 Receives reassigned benefits from 1 practitioner
Practice locations: East Orange, NJ

National Provider Directory

National Provider Directory
Tax ID family
Community Psych Inst3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.