Active NPI
Neuro-Psychological Clinic 1 LLC
- Professional Counselor
- Montville, NJ
National Provider Identifier
1861235459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muznah Mirza, MS, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.