Organization Active NPI

Allied Mental Health Services, LLC

  • Early Intervention Provider Agency
  • Newark, NJ
National Provider Identifier
1932505138
Registry record updated Nov 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
37PC00510200 Issued in NJ
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.