NPIMap

Organization Active NPI

Family Connections, Inc.

  • Community/Behavioral Health Agency
  • Orange, NJ
National Provider Identifier
1972862563
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000318 Issued in NJ
Legal business name
FAMILY CONNECTIONS, INC.
Practice address
395 S Center St
Orange, NJ 07050-3205
Phone
(973) 675-3817
Fax
(973) 673-5782
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Mr. Jacques Hryshko, LPC, ACS
Title
Executive Director
Phone
(973) 323-3439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2000318 NJ Primary

Addresses

Primary practice location

395 S Center St
Orange, NJ 07050-3205

Mailing address

7 Glenwood Avenue
Suite 101
East Orange, NJ 07017-1041
Phone (973) 675-3817

Other identifiers 1

IdentifierTypeStateIssuer
0144169MedicaidNJ

Other names 1

  • Family Service & Child Guidance Center of the Oranges, Maplewood & M Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Family Connections Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

395 S Center St
Orange, NJ 07050
Phone (973) 675-3817

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1972862563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVENUE",
            "address_2": "SUITE 101",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171041",
            "telephone_number": "973-675-3817",
            "fax_number": "973-266-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-673-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "HRYSHKO",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-323-3439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144169",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service & Child Guidance Center of the Oranges, Maplewood & M",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.