MRS. DOREEN MARION TAYLOR-SPELLER (NPI# 1043532542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043532542 |
| Entity Type | Individual |
| Full Name | MRS. DOREEN MARION TAYLOR-SPELLER |
| Credential | MS, LCADC, CSW |
| Practice Address |
687 Frelinghuysen Ave 1st Floor Newark NJ 07114-1349 |
| Practice Telephone | 9737990508 |
| Mailing Telephone | 9737990508 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2013-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00197700 | NJ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 44SW04759900 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE OF NJ OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFA | 37LC00197700 | 01 |
| Street Address |
687 FRELINGHUYSEN AVE 1ST FLOOR |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228830 | Lorraine Wolfson | Registered Nurse | 687 Frelinghuysen Ave, American Habitare and Counseling Inc, Newark, NJ 07114-1349 | 2006-06-29 |
| 1366062101 | Miguel Mateo | Psychologist | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2020-04-22 |
| 1215407887 | Sarina Lara Lentini | Counselor | 687 Frelinghuysen Ave, Newark, NJ 07114 | 2018-11-27 |
| 1760812721 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2013-11-12 |
| 1780013953 | Anita Khawaja | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2013-11-07 |
| 1720334311 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2012-08-01 |
| 1942324579 | American Habitare and Counseling, Inc. | Clinic/Center | 687 Frelinghuysen Ave, Newark, NJ 07114-1334 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224133 | Utopia Lavon Session | Counselor | 54 Cheswold Blvd Apt 310, Newark, DE 19713-4160 | 2020-08-04 |
| 1437634474 | Victoria Lynn Garibaldi | Counselor | 37219 Walnut St, Newark, CA 94560-3418 | 2018-09-26 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1134631310 | Mary Desantis | Counselor | 3981 Buffalo Rd, Newark, NY 14513-9230 | 2017-10-28 |
| 1164884631 | Khayyam Bey | Counselor | 82 Somerset St, Newark, NJ 07108-2954 | 2016-03-24 |
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1144603432 | Kerwin Brisbane | Counselor | 146 Ferry St Ste B, Newark, NJ 07105-2133 | 2015-07-04 |
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.