Janeide Alane Chillis

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

123 Ball St
Irvington, NJ 07111-3464

Phone

(973) 930-6836

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JMC Ministries

  dba JMC-Pratt Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvington, NJ
  • NPI 1962140319
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1922695170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BALL ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113464",
            "telephone_number": "973-375-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BALL ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113464",
            "telephone_number": "973-930-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075012002",
            "country_code": "US",
            "telephone_number": "973-930-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILLIS",
        "first_name": "JANEIDE",
        "middle_name": "ALANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia L Chang
• Pierre Erick Charles
• Julieanne Chavez, CPRS
• Carolle Chery
• Marie-Antoinette Chevrin, NP
• City Urgent Care, P.C.
• Clarke Center Community Options
• Renee M Cochrane Pucciarelli, DMD
• Louise Cohen, CSW
• Keith Colbert, LCADC, CCFC

• Counseling Psychologist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.