MONTE NIDO NEW JERSEY LLC NPI 1902529076

NPI Information

  • NPI: 1902529076
  • Provider Name: MONTE NIDO NEW JERSEY LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • CLIA Number: 31D2266960
  • Address: 120 MUNN LN
    CHERRY HILL, NJ
    ZIP 08034
  • Phone: (856) 626-5100

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NPI Details

MONTE NIDO NEW JERSEY LLC is an adolescent and children mental health clinic center in Cherry Hill, 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 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. MONTE NIDO NEW JERSEY LLC NPI is 1902529076. The provider is registered as an organization entity type.

The provider's business location address is:

120 MUNN LN
CHERRY HILL, NJ
ZIP 08034-030
Phone: (856) 626-5100
Fax: (856) 428-1629

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The CLIA number assigned to this NPI record is 31D2266960 - other - residential mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/23/2022.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 11/21/2025

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