Provider Demographics
NPI:1043581267
Name:METROPOLITAN MENTAL HEALTH
Entity Type:Organization
Organization Name:METROPOLITAN MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCSW
Authorized Official - Phone:201-873-5575
Mailing Address - Street 1:3-07 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4826
Mailing Address - Country:US
Mailing Address - Phone:201-794-9797
Mailing Address - Fax:201-254-9650
Practice Address - Street 1:5-11 SADDLE RIVER RD
Practice Address - Street 2:SUITE 6
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5635
Practice Address - Country:US
Practice Address - Phone:201-794-9797
Practice Address - Fax:201-254-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05698400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty