POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC (NPI# 1649732835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649732835 |
| Entity Type | Organization |
| Organization Name | POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC |
| Practice Address |
654 Mount Prospect Ave Ste 201 Newark NJ 07104-3110 |
| Practice Telephone | 9738783900 |
| Practice Fax Number | 9738783809 |
| Mailing Telephone | 9738783900 |
| Mailing Fax Number | 9738783809 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-07-21 |
| Authorized Official Name | TEMITOPE SHAKIRAT COATES (ADMINISTRATOR/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9738783900 |
| Authorized Official Credential | LCSW, LCADC, CCS |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540917 | Power House Psychotherapy & Addiction, LLC | Substance Abuse Rehabilitation Facility | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1629586219 | Power House Psychotherapy & Addiction, LLC | Community/Behavioral Health | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2018-01-17 |
| 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 |
| Street Address |
654 MOUNT PROSPECT AVE STE 201 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1720540917 | Power House Psychotherapy & Addiction, LLC | Substance Abuse Rehabilitation Facility | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1629586219 | Power House Psychotherapy & Addiction, LLC | Community/Behavioral Health | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2018-01-17 |
| 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 |
| 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 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063934826 | Changing Paths | Clinic/Center | 129 Dr Martin Luther King Jr Blvd, Newark, NJ 07104-2580 | 2017-07-13 |
| 1477007532 | Connections Community Support Programs, Inc. | Clinic/Center | 1423 Capitol Trail (bldg. 1), Suite 1302, Newark, DE 19711 | 2016-08-06 |
| 1366894537 | Newark Counseling Center | Clinic/Center | 268 Dr. Mlk Jr Blvd, Newark, NJ 07102 | 2016-07-12 |
| 1598152597 | Connections Community Support Programs, Inc. | Clinic/Center | 1423 Capitol Trail (bldg. 1) Suite 1102, Newark, DE 19711 | 2015-04-17 |
| 1417395948 | Connections Community Support Programs, Inc. | Clinic/Center | 1423 Capitol Trail (bldg. 1) Suite 1303, Newark, DE 19711 | 2013-06-06 |
| 1013264415 | Connections Community Support Programs, Inc. | Clinic/Center | 1423 Capitol Trail (bldg. 1), Suite 1210, Newark, DE 19711 | 2012-08-06 |
| 1861757635 | Connections Community Support Programs, Inc | Clinic/Center | 1423 Capitol Trail (bldg. 1) Suite 1208, Newark, DE 19711 | 2012-07-09 |
| 1245479781 | Psychotherapeutic Services, Inc. | Clinic/Center | 5 Kensington Ln, Newark, DE 19713-3706 | 2009-02-06 |
| 1114165610 | Benedictine Abbey of Newark | Clinic/Center | 520 Martin Luther King Jr Blvd, Newark, NJ 07102-1314 | 2009-01-22 |
| 1720245509 | Insights Behavioral Health | Clinic/Center | 1400 Peoples Plz Ste 127, Newark, DE 19702-5706 | 2008-05-20 |
| Find all providers in NEWARK | ||||
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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.