POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC


Address: 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110
Phone: 8628888146

POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC (NPI# 1629586219) 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) 1629586219
Entity Type Organization
Organization Name POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC
Practice Address 654 Mount Prospect Ave Ste 201
Newark
NJ 07104-3110
Practice Telephone 8628888146
Mailing Telephone 9738783900
Mailing Fax Number 9738783809
Enumeration Date 2018-01-17
Last Update Date 2019-07-21
Authorized Official Name TEMITOPE SHAKIRAT COATES (EXECUTIVE DIRECTOR/ADMINISTRATOR)
Authorized Official Telephone 9738783900
Authorized Official Credential LCSW, LCADC, CCS
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649732835 Power House Psychotherapy & Addiction, LLC Clinic/Center 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2019-04-05
1720540917 Power House Psychotherapy & Addiction, LLC Substance Abuse Rehabilitation Facility 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2019-04-05
1992213581 Power House Psychotherapy & Addiction, LLC Case Management 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2018-01-17
1003330846 Power House Psychotherapy & Addiction, LLC Social Worker 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2017-08-02

Office Location

Street Address 654 MOUNT PROSPECT AVE STE 201
City NEWARK
State NJ
Zip Code 07104-3110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679939656 Temitope Shakirat Coates Counselor 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2016-01-06
1649732835 Power House Psychotherapy & Addiction, LLC Clinic/Center 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2019-04-05
1720540917 Power House Psychotherapy & Addiction, LLC Substance Abuse Rehabilitation Facility 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2019-04-05
1992213581 Power House Psychotherapy & Addiction, LLC Case Management 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2018-01-17
1003330846 Power House Psychotherapy & Addiction, LLC Social Worker 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 2017-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538790563 North Ward Medical Arts LLC Internal Medicine 485-491 Mt Prospect Ave, Newark, NJ 07104 2020-01-29
1386149011 Community Options Enterprises, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 504-506 Mount Prospect Ave, Newark, NJ 07104 2018-03-26
1710406293 Bmrr Corporation Durable Medical Equipment & Medical Supplies 664 Mt Prospect Ave, Newark, NJ 07104 2017-09-15
1508390287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 387 Ridge Street, Newark, NJ 07104 2017-04-19
1104280890 North Essex Pediatrics Inc Clinic/Center 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 2016-04-08
1306257076 Sonia Martinez Technician/Technologist 677 Mount Prospect Avenue, Newark, NJ 07104 2014-05-15
1891022612 Sofia Berkovich Internal Medicine 717-727 Broadway, Newark, NJ 07104 2009-11-16
1538302138 Bellazmin Natalie Taylor Physician Assistant 354 Doremus Avenue, Newark, NJ 07104 2009-04-13
1740483502 Clear Vision Optical, Inc. Eyewear Supplier (Equipment, not the service) 677 Mt Prospect Avenue, Newark, NJ 07104 2007-06-08
1083815146 Rafael A Hernandez Pharmacist 794 Mt. Prospect Ave., Newark, NJ 07104 2007-05-29
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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
1457910515 Trdiann J Clement Community/Behavioral Health 288 Fairmount Ave, Newark, NJ 07103-2334 2019-06-11
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
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 07104

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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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