MGM Community Services Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MGM COMMUNITY SERVICES INC

Practice address

1056 Beckley Dr
Williamstown, NJ 08094-8808

Phone

(856) 885-2120

Fax

(856) 885-2644

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Kemley WhitesideNPI 1962807479

Title

Executive Director

Phone

(856) 885-2120

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

MGM Community Services Inc2 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.

• MGM Community Services Inc

  • Case Management Agency
  • Williamstown, NJ
  • NPI 1144199183
  NPD tax ID

Locations

Practitioners 1

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

• Kemley Whiteside, MBA, MA

  • Pastoral Counselor
  • Williamstown, NJ
  • NPI 1962807479
  NPD Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1851803167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 BECKLEY DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948808",
            "telephone_number": "856-885-2120",
            "fax_number": "856-885-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 BECKLEY DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948808",
            "telephone_number": "856-885-2120",
            "fax_number": "856-885-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "KEMLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-885-2120"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595985",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mgmnj.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1056 Beckley Dr",
            "city": "Williamstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080948808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary M Merkel-Custer, MSN, APN-C, CARN-AP
• Melinda S. Merkel
• Dino C Messina
• Onyekachi Mgbemena
• MGM Community Services Inc
• Mighty Molars, PA
• Chadwick Wyatt Miller
• Crystal Ann Miller
• Mind Over Chaos Counseling LLC
• Betty Mitchell

• Developmental Disabilities Clinic/Center in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.