CEAN MENTAL WELLNESS SERVICES LLC (NPI# 1619595915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619595915 |
| Entity Type | Organization |
| Organization Name | CEAN MENTAL WELLNESS SERVICES LLC |
| Practice Address |
786 King George Rd Ste 2 Fords NJ 08863-1981 |
| Mailing Address |
320 S Harrison St Apt 15e East Orange NJ 07018-1330 |
| Practice Telephone | 2014637385 |
| Mailing Telephone | 9738733083 |
| Mailing Fax Number | 8625201628 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | CHIOMA EUNICE AGBO (OWNER) |
| Authorized Official Telephone | 9738733083 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
786 KING GEORGE RD STE 2 |
| City | FORDS |
| State | NJ |
| Zip Code | 08863-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548683485 | Zakia Clay | Social Worker | 720 King Georges Road, Fords, NJ 08863 | 2014-01-29 |
| 1912343021 | Anil Datwani | Pharmacist | 370 New Brunswick Avenue, Fords, NJ 08863 | 2013-05-15 |
| 1992929889 | Fords Family Dental Care LLC | Dentist | 532 New Brunswick Ave, Fords, NJ 08863 | 2007-04-12 |
| 1144386939 | Emergency Medical Associates | Clinic/Center | 143 Arlington Drive, Fords, NJ 08863 | 2006-12-28 |
| 1437253549 | Pranab Kumar Haldar | Internal Medicine | 512 New Brunswick Ave, Fords, NJ 08863 | 2006-09-11 |
| 1124533443 | Petrovani Family Medicine Pllc | Family Medicine | 10 Parker Pl, Fords, NJ 08863 | 2017-12-08 |
| 1669507810 | Quick Chek Corporation | Pharmacy | 6 Egan Ave, Fords, NJ 08863 | 2007-02-21 |
| 1609941764 | Shahid Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-11-22 |
| 1750474656 | Ajit Sodhi | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| 1174616064 | Pervaize Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| Find all providers in zip 08863 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| 1114548500 | Ami Kang Therapy | Clinic/Center | 277 Grove St Ste 202, Jersey City, NJ 07302-3601 | 2020-04-27 |
| 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.