TRDIANN J CLEMENT


Address: 288 Fairmount Ave, Newark, NJ 07103-2334
Phone: 9738559071

TRDIANN J CLEMENT (NPI# 1457910515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457910515
Entity Type Individual
Full Name TRDIANN J CLEMENT
Practice Address 288 Fairmount Ave
Newark
NJ 07103-2334
Practice Telephone 9738559071
Mailing Telephone 9738559071
Enumeration Date 2019-06-11
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 288 FAIRMOUNT AVE
City NEWARK
State NJ
Zip Code 07103-2334

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609493097 Cognitive Organics LLC Community/Behavioral Health 14 N Park Pl, Newark, OH 43055-5517 2020-07-01
1861023889 Neighbours-inc Community/Behavioral Health 286 Muhammad Ali Ave, Newark, NJ 07108-2016 2020-01-29
1538721824 Robyn Hope Pavlick Community/Behavioral Health 183 S Orange Ave # Leveld, Newark, NJ 07103-2757 2019-07-08
1497224638 Home Care for You, Inc. Community/Behavioral Health 1 Bloomfield Ave Ste 2, Newark, NJ 07104-2547 2018-11-16
1982195400 Amari Behavioral Health Community/Behavioral Health 39 Maiden Ln, Newark, NJ 07102-5800 2018-05-21
1063901015 Walloflions Community/Behavioral Health 402 Mount Prospect Ave Apt 11g, Newark, NJ 07104-2152 2018-05-04
1811485543 Integrity, Inc. Community/Behavioral Health 103 Lincoln Park, Newark, NJ 07102-2388 2018-04-27
1023527496 Youth Advocate Programs, Inc. Community/Behavioral Health 45 Academy St Ste 303, Newark, NJ 07102-2900 2017-09-28
1912424789 Sandra Lou Fraley Community/Behavioral Health 15 North 3rd Street, Suite 300, Newark, OH 43055 2017-08-23
1003359100 Multilingual Holistic Psychotherapy LLC Community/Behavioral Health 136 Tiffany Blvd Apt 332, Newark, NJ 07104-2471 2016-11-22
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Competitor

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City NEWARK
Zip Code 07103

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Dataset Information

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.

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