SERV BEHAVIORAL HEALTH SYSTEMS (NPI# 1457482705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457482705 |
| Entity Type | Organization |
| Organization Name | SERV BEHAVIORAL HEALTH SYSTEMS |
| Practice Address |
777 Bloomfield Ave Clifton NJ 07012-1242 |
| Practice Telephone | 9735940125 |
| Practice Fax Number | 9735940536 |
| Mailing Telephone | 9735940125 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MS. EILEEN KUCOWSKI (BILLING COORDINATOR) |
| Authorized Official Telephone | 6094060100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
777 BLOOMFIELD AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322255 | Rapps Pharmacy North, LLC | Pharmacy | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2020-10-02 |
| 1558842047 | Elliot Shestack | Social Worker | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2018-08-23 |
| 1730660168 | Desiree Hanna | Marriage & Family Therapist | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2018-08-23 |
| 1689172074 | Steven Frederick Satz | Student in an Organized Health Care Education/Training Program | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2018-01-31 |
| 1437666310 | Michelle Gargiulo | Student in an Organized Health Care Education/Training Program | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2018-01-02 |
| 1720598204 | Imelda D. Mantilla | Counselor | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2017-10-10 |
| 1801331434 | Louise Carmen Gabriele | Registered Nurse | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2017-01-06 |
| 1932553740 | Cindy Aguilar | Counselor | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2016-04-18 |
| 1720459217 | Evelyn Fabian | Social Worker | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2015-10-09 |
| 1750750170 | Cheryl Glatter | Student in an Organized Health Care Education/Training Program | 777 Bloomfield Ave, Clifton, NJ 07012-1242 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1386262277 | The Greater Zen Counseling & Wellness House | Counselor | 377 Valley Rd # 1057, Clifton, NJ 07013-1319 | 2020-07-08 |
| 1699399055 | Mi Cao | Counselor | 377 Valley Rd # 1070, Clifton, NJ 07013-1319 | 2020-06-02 |
| 1831737592 | Our Footprints Counseling Service | Counselor | 291 River Rd, Clifton, NJ 07014-1552 | 2019-12-12 |
| 1326518432 | Melissa Badia | Counselor | 232 Entin Rd, Clifton, NJ 07014-1423 | 2018-11-30 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1427555424 | John R Williams | Counselor | 338 3rd St Apt 2, Clifton, NJ 07011-3253 | 2018-04-07 |
| 1891293619 | Alissa Anne Singh | Counselor | 3208 Main Cir W, Clifton, CO 81520-9001 | 2018-01-26 |
| 1164896718 | Joanne Proppe | Counselor | 526 Opas Pl, Clifton, CO 81520-7980 | 2015-11-19 |
| 1821461088 | Kasandra Salvati | Counselor | 3230 Golden Sun Ave, Clifton, CO 81520-7101 | 2015-11-09 |
| Find all providers in CLIFTON | ||||
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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.