Organization Active NPI

Neuro-Psychological Clinic 1 LLC

  • Professional Counselor
  • Montville, NJ
National Provider Identifier
1861235459
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEURO-PSYCHOLOGICAL CLINIC 1 LLC
Doing business as
NPC
Practice address
150 River Rd Ste L4
Montville, NJ 07045-8924
Phone
(973) 204-2423
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Muznah Mirza, MS, RDNPI 1245820141
Title
Co-Owner
Phone
(973) 204-2423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

150 River Rd Ste L4
Montville, NJ 07045-8924

Mailing address

10 Continental Cir
Totowa, NJ 07512-2191
Phone (973) 204-2423

Other names 1

  • NPC Doing business as

National Provider Directory

National Provider Directory

Locations

150 River Rd
Ste L4
Montville, NJ 07045
Phone (973) 204-2423

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1861235459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONTINENTAL CIR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122191",
            "telephone_number": "973-204-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE L4",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458924",
            "telephone_number": "973-204-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-PSYCHOLOGICAL CLINIC 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MUZNAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-204-2423",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.