NPIMap

Organization Active NPI

Transformational Healthcare Services

  • Adult Psychiatric/Mental Health Registered Nurse
  • Glen Ridge, NJ
National Provider Identifier
1851113849
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
Legal business name
TRANSFORMATIONAL HEALTHCARE SERVICES
Practice address
123 Highland Ave
Suite G2
Glen Ridge, NJ 07028
Phone
(888) 344-4549
Fax
(908) 652-9230
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Simeon Mertyl
Title
Director
Phone
(888) 344-4549

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0600X
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X Primary

Addresses

Primary practice location

123 Highland Ave
Suite G2
Glen Ridge, NJ 07028

Mailing address

123 Highland Ave
Suite G2
Glen Ridge, NJ 07028
Phone (888) 344-4549

National Provider Directory

National Provider Directory
Tax ID family
Transformational Healthcare3 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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1851113849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "888-344-4549",
            "fax_number": "908-652-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "888-344-4549",
            "fax_number": "908-652-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MERTYL",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-344-4549"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.