NPIMap

Organization Active NPI

Immediate Care Psychiatric Center, LLC

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1962781732
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IMMEDIATE CARE PSYCHIATRIC CENTER, LLC
Practice address
28 A Hill Road
Parsippany, NJ 07054
Phone
(973) 335-9909
Fax
(973) 335-9910
NPI assigned
Aug 11, 2011
Organization subpart
Yes
Parent organization
IMMEDIATE CARE PSYCHIATRIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Marilyn Ayres
Title
Billing Manager
Phone
(973) 335-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

28 A Hill Road
Parsippany, NJ 07054

Mailing address

28 A Hill Road
Parsippany, NJ 07054
Phone (973) 335-9909

Other identifiers 1

IdentifierTypeStateIssuer
058035OtherNJMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Immediate Care Psych Ctr6 organizations share this tax ID, including this one
Part of
Immediate Care Psych Ctr

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1962781732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 A HILL ROAD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-335-9909",
            "fax_number": "973-335-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 A HILL ROAD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-335-9909",
            "fax_number": "973-335-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE CARE PSYCHIATRIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMMEDIATE CARE PSYCHIATRIC CENTER, LLC",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-335-9909"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "058035",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.