MEDICARE: MENTAL HEALTH ASSOCIATION

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	251B00000X	Case Management Agency
2	302F00000X	Exclusive Provider Organization

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417165358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH ASSOCIATION

Provider Business Mailing Address
First Line	:	106 APPLE ST STE 110
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2670
Country	:	US
Telephone Number	:	732-542-6422
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 APPLE ST STE 110
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2670
Country	:	US
Telephone Number	:	732-542-6422
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ACHILLE DEJEAN
Credential	:
Telephone Number	:	732-542-6422

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	03/03/2025

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Directions to “MENTAL HEALTH ASSOCIATION ” Practice Location

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