NPIMap

Organization Active NPI

Family Service Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Egg Harbor TWP, NJ
National Provider Identifier
1891969283
Registry record updated Jun 11, 2014
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
FAMILY SERVICE ASSOCIATION
Practice address
3073 English Creek Ave
Ste 3
Egg Harbor TWP, NJ 08234-9711
Phone
(609) 569-0239
Fax
(609) 569-1802
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Ms. Jennie Echo, MHA, LNHA
Title
Chief Operating Officer
Phone
(609) 569-0239

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X NJ

Addresses

Primary practice location

3073 English Creek Ave
Ste 3
Egg Harbor TWP, NJ 08234-9711

Mailing address

3073 English Creek Ave
Ste 3
Egg Harbor TWP, NJ 08234-9711
Phone (609) 569-0239

Other identifiers 1

IdentifierTypeStateIssuer
0006165MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3073 English Creek Ave
Ste 3
Egg Hbr Twp, NJ 08234
Phone (609) 569-0239

3073 English Creek Ave
Egg Hbr Twp, NJ 08234
Phone (609) 569-0239

Practitioners & affiliated clinicians

Practitioners 8

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1891969283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 ENGLISH CREEK AVE",
            "address_2": "STE 3",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349711",
            "telephone_number": "609-569-0239",
            "fax_number": "609-569-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 ENGLISH CREEK AVE",
            "address_2": "STE 3",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349711",
            "telephone_number": "609-569-0239",
            "fax_number": "609-569-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ECHO",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-569-0239",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA, LNHA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006165",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.