McKenna House

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MCKENNA HOUSE

Practice address

72 Lawrence Ave
Dumont, NJ 07628

Phone

(201) 230-8876

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Kathy Patacsil

Title

Financial Director

Phone

(201) 230-8876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1871761288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LAWRENCE AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "07628",
            "telephone_number": "201-230-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LAWRENCE AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "07628",
            "telephone_number": "201-230-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PATACSIL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "201-230-8876"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl S. Mathew, PT, DPT
• Rachel Lyn Matthews, LCSW
• Lindsey Julia Mattsson, LPC
• Christopher Ryan McCarthy, LCSW
• Lynda McGowan, LCSW
• Tina Louise Menezes, DPT
• Abigail Osdana Mercado, APN
• Diane Merkovsky
• Milena Marie Michalopoulos, M.S. CCC-SLP
• Mindful Metamorphosis Counseling

• Developmentally Disabled Services Day Training Agency in Dumont, NJ
• Providers in Dumont, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.