LEGEND PSYCH LLC
NPI 1114519360
Clinic/Center - Adult Mental Health in Oradell, NJ

Q: What is Legend Psych LLC's NPI number?

The NPI number for Legend Psych LLC is 1114519360. It was assigned to this organization in the NPPES registry on February 9, 2021.

Q: What is Legend Psych LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Q: When was this NPI record last updated?

The NPPES record for Legend Psych LLC was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2021

550 KINDERKAMACK RD STE 108, ORADELL, NJ 07649(201) 523-4113 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, Feb 9, 2021 (2 updates tracked since 2021).

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About Legend Psych Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGEND PSYCH LLC (NPI 1114519360) is a healthcare organization registered as an adult mental health in Oradell, New Jersey and active in the NPI registry since February 2021. The organization lists Blake W Jonas, Owner, as its authorized official.

NPPES Registry Identity

NPI1114519360

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameLEGEND PSYCH LLC

Location Address550 KINDERKAMACK RD STE 108Oradell, NJ 07649-1500

Mailing Address239 Prospect Ave Apt 1New Milford, NJ 07646-1764 · (201) 523-4113

Phone(201) 523-4113

Organization SubpartNo

Authorized OfficialBlake W JonasOwner · (201) 523-4113

Enumeration DateFebruary 9, 2021

Last NPPES UpdateMay 27, 20212 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1114519360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

550 KINDERKAMACK RD STE 108, Oradell, NJ 07649

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BLAKE W JONAS LMFT

Marriage & Family Therapist

550 KINDERKAMACK RD STE 108
ORADELL, NJ 07649

Bergen County (201) 523-4113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legend Psych LLC's NPI number?

The NPI number for Legend Psych LLC is 1114519360. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Legend Psych LLC located?

Legend Psych LLC is located at 550 Kinderkamack Rd Ste 108, Oradell, NJ 07649. The listed phone number is (201) 523-4113.

What is Legend Psych LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Legend Psych LLC was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.