URBAN LIFE SKILLS ACADEMY (NPI# 1275997090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275997090 |
| Entity Type | Organization |
| Organization Name | URBAN LIFE SKILLS ACADEMY |
| Practice Address |
1426 7th Ave Neptune NJ 07753-4944 |
| Practice Telephone | 7326824343 |
| Practice Fax Number | 7323618142 |
| Mailing Telephone | 7326824343 |
| Mailing Fax Number | 7323618142 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | MARKIM SHAKUR-PURVIS (DIRECTOR) |
| Authorized Official Telephone | 7326824343 |
| Authorized Official Credential | MA, LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 37PC00471600 | NJ | Agencies |
| Street Address |
1426 7TH AVE |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335915 | Crossroads of New Jersey Management, LLC | Community/Behavioral Health | 2040 6th Ave Ste C&d, Neptune, NJ 07753-6101 | 2020-01-07 |
| 1528587227 | Ymca of Greater Monmouth County | Community/Behavioral Health | 11 Memorial Dr, Neptune, NJ 07753-5055 | 2017-09-13 |
| 1033638747 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1 Summerfield Ln, Neptune, NJ 07753-3568 | 2017-09-13 |
| 1225557929 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1155 Corlies Ave, Neptune, NJ 07753-5050 | 2017-09-13 |
| 1427577121 | Ymca of Greater Monmouth County | Community/Behavioral Health | 312 Brighton Ave, Neptune, NJ 07753-5539 | 2017-09-13 |
| 1093234965 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1 Gables Ct, Neptune, NJ 07753-4200 | 2017-09-12 |
| 1851830632 | Ymca of Greater Monmouth County | Community/Behavioral Health | 2300 Heck Ave, Neptune, NJ 07753-4432 | 2017-02-14 |
| 1538608328 | Ymca of Greater Monmouth County | Community/Behavioral Health | 909 Green Grove Rd, Neptune, NJ 07753-2907 | 2017-02-14 |
| 1568868362 | Catholic Charities, Diocese of Trenton | Community/Behavioral Health | 238 Neptune Blvd, Suite 2d, Family Growth Neptune, Neptune, NJ 07753-8600 | 2014-11-06 |
| 1013236546 | Cameo Kids Alliance, LLC | Community/Behavioral Health | 1115 Green Grove Rd, Neptune, NJ 07753-2571 | 2010-05-24 |
| Find all providers in NEPTUNE | ||||
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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.