Organization Active NPI

Mohr Adult Psychological Services Corp

  • Clinical Social Worker
  • Asbury Park, NJ
National Provider Identifier
1821477381
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04793500 Issued in NJ
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

Updated by the provider on May 29, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1265512479OtherNJNPI INDIVIDUAL
1881881498OtherNJMEDICARE NPI 1881881498 (GROUP)
073095OtherNJPTAN GROUP

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.