Organization Active NPI

Montgomery Behavioral Healthcare P.C.

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1932152691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04788900 Issued in NJ
Legal business name
MONTGOMERY BEHAVIORAL HEALTHCARE P.C.
Practice address
256 Wall St
Princeton, NJ 08540-1511
Phone
(609) 430-1600
Fax
(609) 430-1604
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janice Rusin, LCSWNPI 1548212269
Title
President
Phone
(609) 430-1600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04788900 NJ Primary

Addresses

Primary practice location

256 Wall St
Princeton, NJ 08540-1511

Mailing address

256 Wall St
Princeton, NJ 08540-1511
Phone (609) 430-1600

National Provider Directory

National Provider Directory

Locations

256 Wall St
Princeton, NJ 08540
Phone (609) 203-0773

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932152691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401511",
            "telephone_number": "609-430-1600",
            "fax_number": "609-430-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401511",
            "telephone_number": "609-430-1600",
            "fax_number": "609-430-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY BEHAVIORAL HEALTHCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-430-1600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04788900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

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