NPIMap

Organization Active NPI

Wolf Mehlman Psychological Associates, LLC

  • Community/Behavioral Health Agency
  • Montclair, NJ
National Provider Identifier
1851668818
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05479400 Issued in NJ
Legal business name
WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
31 S Fullerton Ave
Montclair, NJ 07042-3455
Phone
(973) 744-4494
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Amie Wolf-Mehlman, PHD
Title
Executive Director
Phone
(973) 744-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05479400 NJ Primary

Addresses

Primary practice location

31 S Fullerton Ave
Montclair, NJ 07042-3455

Mailing address

31 S Fullerton Ave
Montclair, NJ 07042-3455
Phone (973) 744-4494

National Provider Directory

National Provider Directory
Tax ID family
Wolf Mehlman Psychological Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1851668818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423455",
            "telephone_number": "973-744-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423455",
            "telephone_number": "973-744-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "WOLF-MEHLMAN",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-744-4494",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05479400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.