MONTCLAIR HOSPITAL LLC NPI 1386893659

NPI Information

NPI: 1386893659
Provider Name: MONTCLAIR HOSPITAL LLC

Doing Business As: OUTPATIENT BEHAVIORAL HEALTH DEPARTMENT

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1 BAY AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 429-6338
Get Directions

MONTCLAIR HOSPITAL LLC is an adult mental health clinic center in Montclair, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MONTCLAIR HOSPITAL LLC NPI is 1386893659. The provider is registered as an organization entity type.
The provider Is Doing Business As Outpatient Behavioral Health Department.

The provider's business location address is:

1 BAY AVE
MONTCLAIR, NJ
ZIP 07042-837
Phone: (973) 429-6338
Fax: (973) 680-7715

The provider's authorized official is Joe Johnson .
The authorized official title is Vice President and has the following contact phone number (866) 465-9222.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 6/11/2013.

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	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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	Other Provider Identifier Issuer
1	310054	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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