NPIMap

Organization Active NPI

Mental Specialty PC

  • Mental Health Counselor
  • Newark, NJ
National Provider Identifier
1972924298
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
35SI00291500 Issued in NJ
Legal business name
MENTAL SPECIALTY PC
Practice address
300 Broadway
Newark, NJ 07104-8000
Phone
(718) 506-1115
NPI assigned
Jan 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Authorized official

Name
Dr. Helen Berman, PH.D
Title
President
Phone
(718) 506-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 35SI00291500 NJ Primary

Addresses

Primary practice location

300 Broadway
Newark, NJ 07104-8000

Mailing address

300 Broadway
Newark, NJ 07104-8000
Phone (718) 506-1115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388880000000",
    "number": "1972924298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000",
            "telephone_number": "718-506-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000",
            "telephone_number": "718-506-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL SPECIALTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-506-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "35SI00291500",
            "primary": true
        }
    ],
    "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 Jan 5, 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.