TRUE CARE MENTAL HEALTH CLINIC LLC (NPI# 1396178430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396178430 |
| Entity Type | Organization |
| Organization Name | TRUE CARE MENTAL HEALTH CLINIC LLC |
| Practice Address |
9 W Broadway Fl 2 Paterson NJ 07505-1014 |
| Practice Telephone | 9739772000 |
| Practice Fax Number | 9739772005 |
| Mailing Telephone | 9739772000 |
| Mailing Fax Number | 9739772005 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-03-30 |
| NPI Deactivation Date | 01/23/2019 |
| NPI Reactivation Date | 2019-08-07 |
| Authorized Official Name | DAVID ADELAKUN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9739772000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 Smith St Ste 307, Perth Amboy, NJ 088614334 | 7328267561 | 7328267567 |
| 570 N Broad St Ste 3, Elizabeth, NJ 072084301 | 9083550050 | 9083550018 |
| 800 Broad St., Newark, NJ 07102 | 9738771900 |
| Street Address |
9 W BROADWAY FL 2 |
| City | PATERSON |
| State | NJ |
| Zip Code | 07505-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629304043 | Wilford Guevara | Counselor | 9 W Broadway Fl 2, Paterson, NJ 07505-1014 | 2009-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1700031283 | Robert Rekker | Psychologist | 100 Hamilton Plz Ste 101, Paterson, NJ 07505 | 2008-11-25 |
| 1568664951 | James John Hussey | Social Worker | 56 Hamilton S, Paterson, NJ 07505 | 2007-06-05 |
| 1659414910 | Stephen Sherman | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-02-15 |
| 1629089909 | Smile Central Dental PC | Dentist | 140 Market Street, 3rd Floor, Paterson, NJ 07505 | 2006-08-11 |
| 1619969581 | Damon House, Inc. | Substance Abuse Rehabilitation Facility | 175 Market St., Paterson, NJ 07505 | 2005-08-17 |
| 1295228377 | Jayasree Dokku | Pharmacist | 102 Broadway, Paterson, NJ 07505 | 2018-06-12 |
| 1619473089 | Meena Al-talib | Dentist | 140 Market St, Paterson, NJ 07505 | 2018-04-03 |
| 1083830384 | Mahir Saleh | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-04-17 |
| 1801929591 | West Broadway Dental Pa | Dentist | 1 West Broadway, Paterson, NJ 07505 | 2007-03-13 |
| Find all providers in zip 07505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376930503 | June Cade | Counselor | 193 Haledon Ave, Paterson, NJ 07522-1272 | 2015-04-26 |
| 1154566198 | Rehan Hassanin Seyam | Counselor | 152 Derrom Ave, Paterson, NJ 07504-1003 | 2008-12-04 |
| 1457745267 | Jamie Bland | Counselor | 525 Broadway, Paterson, NJ 07514-2834 | 2015-03-19 |
| 1720321094 | C-line Community Outreach Services Inc. | Counselor | 680 Broadway, Paterson, NJ 07514-1524 | 2013-04-04 |
| 1366780421 | Rissy Carolina Batista | Counselor | 703 Main St, Paterson, NJ 07503-2621 | 2013-01-24 |
| 1144546938 | Hilary Hastings Porteous-nye | Counselor | 60 Hamilton St, Paterson, NJ 07505-2003 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
| 1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
| 1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
| 1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.