Active NPI
James P Nelson Behavioral Healthcare, LLC
- Community/Behavioral Health Agency
- Maplewood, NJ
National Provider Identifier
1992378665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JAMES P NELSON BEHAVIORAL HEALTHCARE, LLC
- Practice address
- 61 Essex Ave
Maplewood, NJ 07040-1534 - Phone
- (908) 265-6569
- NPI assigned
- Jul 21, 2021
- 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
- Ms. Kyesha Headd, LCSW
- Title
- Director
- Phone
- (908) 265-6569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
61 Essex Ave
Maplewood, NJ 07040-1534
Mailing address
61 Essex Ave
Maplewood, NJ 07040-1534
Phone (908) 265-6569
National Provider Directory
National Provider DirectoryLocations
599 S Livingston Ave
Livingston, NJ 07039
Phone (908) 265-6569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1992378665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 ESSEX AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401534",
"telephone_number": "908-265-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 ESSEX AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401534",
"telephone_number": "908-265-6569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES P NELSON BEHAVIORAL HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "HEADD",
"authorized_official_first_name": "KYESHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "908-265-6569",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.