ON YOUR MARK TEEN COUNSELING CENTER, LLC (NPI# 1386108488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386108488 |
Entity Type | Organization |
Organization Name | ON YOUR MARK TEEN COUNSELING CENTER, LLC |
Practice Address |
605 Valley Rd Ste 4 Upper Montclair NJ 07043-1455 |
Mailing Address |
Po Box 43701 Upper Montclair NJ 07043-0701 |
Practice Telephone | 9737462500 |
Practice Fax Number | 9737462502 |
Mailing Telephone | 9737462500 |
Mailing Fax Number | 9737462502 |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |
Authorized Official Name | MRS. CHRISTINA PAPASSO (OWNER/DIRECTOR) |
Authorized Official Telephone | 9738853712 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NPI | 1861737421 | 01 |
Street Address |
605 VALLEY RD STE 4 |
City | UPPER MONTCLAIR |
State | NJ |
Zip Code | 07043-1455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205314499 | Julia Hahn | Counselor | 161 Gordonhurst Avenue, Montclair, NJ 07043 | 2018-07-31 |
1902346877 | Montclair State University | Clinic/Center | 1 Normal Avenue, Division of Finance, Montclair, NJ 07043 | 2017-02-27 |
1770940199 | Montclair Performance Health and Chiropractic Inc | Chiropractor | 546 Valley Rd., Suite 103, Montclair, NJ 07043 | 2016-01-16 |
1881080885 | Rosalie Cespedes | Social Worker | 622 Valley Rd Ste 5e, Montclair, NJ 07043 | 2015-04-07 |
1629310537 | Kinder Smile Foundation | Dentist | 248 Lorraine Ave -, Suite #12, Upper Montclair, NJ 07043 | 2013-03-19 |
1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
1063733004 | Center for Counseling and Wellness, LLC | Community/Behavioral Health | 622-624 Valley Road, Suite 6, Upper Montclair, NJ 07043 | 2010-06-14 |
1346483286 | Cindy Marlene Sherman | Counselor | 18 Aubrey Road, Montclair, NJ 07043 | 2009-04-08 |
1831396977 | Michele D Vallone | Social Worker | One Bellevue Address, Suite 7, Upper Montclair, NJ 07043 | 2007-07-02 |
1497979132 | Montclair State University Health Center | Clinic/Center | One Normal Ave, Montclair State University Health Center, Montclair, NJ 07043 | 2007-04-12 |
Find all providers in zip 07043 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766375 | Grace Behavioral Health Services | Clinic/Center | 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | 2020-09-24 |
1881213783 | Operation Hope | Clinic/Center | 45 Cross Rd, Colts Neck, NJ 07722-1211 | 2020-04-10 |
1003441809 | Madison Counseling LLC | Clinic/Center | 333 Main St Ste 200, Madison, NJ 07940-2370 | 2020-03-12 |
1699247635 | Stanford Ctc Services, LLC | Clinic/Center | 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 | 2018-12-31 |
1114496916 | Transformations Therapy Center LLC | Clinic/Center | 110 Hillside Ave Ste 301, Springfield, NJ 07081-3007 | 2018-11-21 |
1508345257 | Connect Counseling & Wellness, LLC | Clinic/Center | 155 County Rd Ste 14, Cresskill, NJ 07626-2200 | 2018-08-13 |
1730694688 | Comprehensive Behavioral Healthcare, Inc. | Clinic/Center | 187 Kearny Ave, Kearny, NJ 07032-2437 | 2017-12-13 |
1295258424 | Cnv Counseling Services LLC | Clinic/Center | 22 Coventry Dr, Freehold, NJ 07728-3164 | 2017-07-19 |
1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
1205284304 | Marie Edith Ganthier | Clinic/Center | 148 W Elmwood Dr, South Plainfield, NJ 07080-4913 | 2016-05-30 |
Find all providers with the same taxonomy |
City | UPPER MONTCLAIR |
Zip Code | 07043 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.