MEDICARE: MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)		NJ

General Provider Information

NPI Number	:	1952632523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	590 N 7TH ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07107-4553
Country	:	US
Telephone Number	:	973-596-4190
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 SOUTH AVE
Second Line	:
City	:	CRANFORD
State	:	NJ
Zip	:	07016-3246
Country	:	US
Telephone Number	:	973-596-4058
Fax Number	:	973-639-6681

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. JOHN W WESTERVELT
Credential	:
Telephone Number	:	973-596-3984

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	01/08/2026

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