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OUTPATIENT BEHAVIORAL HEALTH DEPARTMENT
NPI 1386893659
Clinic/Center - Adult Mental Health in Montclair, NJ

Active since September 11, 2008
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6338(973) 680-7715 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Outpatient Behavioral Health Department NPPES

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

OUTPATIENT BEHAVIORAL HEALTH DEPARTMENT (NPI 1386893659) is a healthcare organization registered as an adult mental health in Montclair, New Jersey and active in the NPI registry since September 2008. The organization lists Joe Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1386893659
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMONTCLAIR HOSPITAL LLC
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address1 Bay AveMontclair, NJ 07042-4837 · (973) 429-6000 · Fax (973) 429-6209
Phone(973) 429-6338
Fax(973) 680-7715
Organization SubpartYes
Authorized OfficialJoe JohnsonVice President · (866) 465-9222
Enumeration DateSeptember 11, 2008
Last NPPES UpdateJune 11, 2013
✔ NPI 1386893659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1 BAY AVE, Montclair, NJ 07042
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Other Names 1

Doing Business AsOutpatient Behavioral Health Department

Other Identifiers 1

Medicare OSCAR/certification310054

Other Providers at the Same Location NPPES 20

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

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 Montclair Hospital LLC's NPI number?

The NPI number for Montclair Hospital LLC is 1386893659. It was assigned to this organization in the NPPES registry on September 11, 2008. The provider is doing business as Outpatient Behavioral Health Department.

Where is Montclair Hospital LLC located?

Montclair Hospital LLC is located at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6338.

What is Montclair Hospital 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 Montclair Hospital LLC was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.