Active NPI
Mohr Adult Psychological Services Corp
- Clinical Social Worker
- Asbury Park, NJ
National Provider Identifier
1821477381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04793500
- Legal business name
- MOHR ADULT PSYCHOLOGICAL SERVICES CORP
- Practice address
- 1615 Park Ave
Apt 6G
Asbury Park, NJ 07712-5281 - Phone
- (848) 391-5531
- NPI assigned
- May 29, 2015
- 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
- Susan Mohr, LCSW
- Title
- President
- Phone
- (848) 391-5531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04793500 | NJ | Primary |
Addresses
Primary practice location
1615 Park Ave
Apt 6G
Asbury Park, NJ 07712-5281
Mailing address
PO Box 794
Belmar, NJ 07719-0794
Phone (848) 391-5531
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265512479 | Other | NJ | NPI INDIVIDUAL |
| 1881881498 | Other | NJ | MEDICARE NPI 1881881498 (GROUP) |
| 073095 | Other | NJ | PTAN GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1821477381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 794",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077190794",
"telephone_number": "848-391-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PARK AVE",
"address_2": "APT 6G",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125281",
"telephone_number": "848-391-5531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHR ADULT PSYCHOLOGICAL SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "MOHR",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "848-391-5531",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04793500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1265512479",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI 1881881498 (GROUP)",
"identifier": "1881881498",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN GROUP",
"identifier": "073095",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asbury Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.