MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS INC. NPI 1790721108

NPI Information

NPI: 1790721108
Provider Name: MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
33 S FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 509-9777
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MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS, INC. is a mental health counselor in Montclair, NJ. MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS, INC. NPI is 1790721108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33 S FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 509-9777
Fax: (973) 509-9218

The provider's authorized official is Robert N. Davison .
The authorized official title is Chief Executive Officer and has the following contact phone number (973) 509-9777.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	302090405	NEW JERSEY	Yes
2	251B00000X	Case Management		302090405	NEW JERSEY	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	302090405	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0021903	MEDICAID	NEW JERSEY
2	7370202	MEDICAID	NEW JERSEY
3	0017744	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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