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MJC PSYCHOTHERAPY SERVICES
NPI 1457949190
Social Worker - Clinical in Upper Montclair, NJ

Active since January 07, 2021
622-624 VALLEY ROAD, SUITE 6C, UPPER MONTCLAIR, NJ 07043(201) 704-3164(877) 615-7339 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2023, Jan 24, 2023, Jan 7, 2021 (3 updates tracked since 2021).

About Mjc Psychotherapy Services NPPES

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

MJC PSYCHOTHERAPY SERVICES (NPI 1457949190) is a healthcare organization registered as a clinical in Upper Montclair, New Jersey and active in the NPI registry since January 2021. The organization lists Mary K. Culley, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1457949190
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMJC PSYCHOTHERAPY SERVICES
Location Address622-624 VALLEY ROAD, SUITE 6CUpper Montclair, NJ 07043
Mailing Address622-624 Valley Road, Suite 6cUpper Montclair, NJ 07043 · (201) 704-3164 · Fax (877) 615-7339
Phone(201) 704-3164
Fax(877) 615-7339
Organization SubpartNo
Authorized OfficialMary K. CulleyOwner/provider · (201) 704-3164
Enumeration DateJanuary 7, 2021
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1457949190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
622-624 VALLEY ROAD, Upper Montclair, NJ 07043
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Other Names 1

Doing Business AsMjc Psychotherapy Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mjc Psychotherapy Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mjc Psychotherapy Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Culley, LCSW
Clinical Social Worker
NPI 1467850586
31 S FULLERTON AVE
Montclair, NJ 07042
(973) 744-4494
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mjc Psychotherapy Services's NPI number?

The NPI number for Mjc Psychotherapy Services is 1457949190. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Mjc Psychotherapy Services located?

Mjc Psychotherapy Services is located at 622-624 Valley Road Suite 6C, Upper Montclair, NJ 07043. The listed phone number is (201) 704-3164.

What is Mjc Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mjc Psychotherapy Services enrolled in Medicare?

Yes. Mjc Psychotherapy Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mjc Psychotherapy Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mjc Psychotherapy Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mjc Psychotherapy Services was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.