Active NPI
Allied Mental Health Services, LLC
- Early Intervention Provider Agency
- Newark, NJ
National Provider Identifier
1932505138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 37PC00510200
- Legal business name
- ALLIED MENTAL HEALTH SERVICES, LLC
- Practice address
- 40 Clinton St
Ste L
Newark, NJ 07102-9713 - Phone
- (917) 364-3785
- NPI assigned
- Nov 15, 2014
- Last updated
- Nov 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Lynn Fleming, PHD,LMHC, LPC
- Title
- Clinical Therapist
- Phone
- (917) 364-3785
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | MH11779 | FL | |
| Early Intervention Provider Agency | 252Y00000X | 37PC00510200 | NJ | Primary |
| Community/Behavioral Health Agency | 251S00000X | 37PC00510200 | NJ | |
| Community/Behavioral Health Agency | 251S00000X | MH 11779 | FL |
Addresses
Primary practice location
40 Clinton St
Ste L
Newark, NJ 07102-9713
Mailing address
1331 Airport Dr
G17
Tallahassee, FL 32304-4775
Phone (917) 364-3785
National Provider Directory
National Provider DirectoryLocations
40 Clinton St
Ste L
Newark, NJ 07102
Phone (917) 364-3785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416009600000",
"number": "1932505138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 AIRPORT DR",
"address_2": "G17",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323044775",
"telephone_number": "917-364-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CLINTON ST",
"address_2": "STE L",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071029713",
"telephone_number": "917-364-3785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED MENTAL HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-15",
"last_updated": "2014-11-15",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "917-364-3785",
"authorized_official_credential": "PHD,LMHC, LPC"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": "MH11779",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NJ",
"license": "37PC00510200",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "37PC00510200",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MH 11779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.