| Mental Health Association Of Essex And Morris, Inc. | |
|
33 S Fullerton Ave Montclair NJ 07042 | |
| (973) 509-9777 | |
| (973) 509-9218 |
| Full Name | Mental Health Association Of Essex And Morris, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 33 S Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Robert N. Davison (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9735099777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Association Of Essex And Morris, Inc. 33 S Fullerton Ave Montclair NJ 07042-3358 Ph: (973) 509-9777 | Mental Health Association Of Essex And Morris, Inc. 33 S Fullerton Ave Montclair NJ 07042 Ph: (973) 509-9777 |
| NPI Number | 1790721108 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 01/14/2019 |
| Medicare PECOS PAC ID | 5597654293 |
|---|---|
| Medicare Enrollment ID | O20040311000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790721108 | NPI | - | NPPES |
| 0017744 | Medicaid | NJ | |
| 7370202 | Medicaid | NJ | |
| 0021903 | Medicaid | NJ |
| Provider Name | Barbara P Brownsword |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396802302 PECOS PAC ID: 9133167661 Enrollment ID: I20050425000400 |
| Provider Name | Victor F Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518904036 PECOS PAC ID: 0446275614 Enrollment ID: I20051007000262 |
| Provider Name | Yong-suk Zarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982889291 PECOS PAC ID: 2062656549 Enrollment ID: I20130924000301 |
| Provider Name | Joseph Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861899932 PECOS PAC ID: 2062730179 Enrollment ID: I20150421000359 |
| Provider Name | Kolawole Adeoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454533 PECOS PAC ID: 6608185657 Enrollment ID: I20151014002344 |
| Provider Name | Kemsey J Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043625395 PECOS PAC ID: 7416259783 Enrollment ID: I20160104000359 |
| Provider Name | Dania Jean Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588187579 PECOS PAC ID: 1557622974 Enrollment ID: I20180228000784 |
| Provider Name | Marc D Schiffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437396926 PECOS PAC ID: 5395091250 Enrollment ID: I20180706001393 |
| Provider Name | Heather B Levitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891116752 PECOS PAC ID: 2668711177 Enrollment ID: I20190228000035 |
| Provider Name | Joanne S Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154506111 PECOS PAC ID: 7113252826 Enrollment ID: I20190717000798 |
| Provider Name | Emily S Zelner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831734516 PECOS PAC ID: 8123440971 Enrollment ID: I20200624000518 |
| Provider Name | Taisia L Koeppel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144978404 PECOS PAC ID: 3476940560 Enrollment ID: I20220419002596 |
| Provider Name | Julie Gbogi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700453636 PECOS PAC ID: 8426435793 Enrollment ID: I20220509000009 |
| Provider Name | Linda Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407132012 PECOS PAC ID: 1153786827 Enrollment ID: I20230502002084 |
| Provider Name | Dorothy L Geffken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689268898 PECOS PAC ID: 6800258104 Enrollment ID: I20230818000958 |
| Provider Name | Herma D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871242776 PECOS PAC ID: 3678937943 Enrollment ID: I20230919004457 |
| Provider Name | Edward G Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366993438 PECOS PAC ID: 3779934971 Enrollment ID: I20240112000488 |
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