Organization Active NPI

Great Joy Community Development Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clark, NJ
National Provider Identifier
1881431922
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GREAT JOY COMMUNITY DEVELOPMENT CORPORATION
Practice address
800 Raritan Rd Ste 2
Clark, NJ 07066-1710
Phone
(908) 514-8602
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
La'Tesha Sampson, LCSW
Title
LCSW
Phone
(908) 514-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

800 Raritan Rd Ste 2
Clark, NJ 07066-1710

Mailing address

800 Raritan Rd Ste 2
Clark, NJ 07066-1710
Phone (908) 514-8602

National Provider Directory

National Provider Directory

Locations

800 Raritan Rd
Ste 2
Clark, NJ 07066
Phone (908) 514-8602

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1881431922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RARITAN RD STE 2",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "908-514-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RARITAN RD STE 2",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "908-514-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT JOY COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "LA'TESHA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "908-514-8602",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.