TRANSFORMATIONAL HEALTHCARE SERVICES (NPI# 1669082756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669082756 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONAL HEALTHCARE SERVICES |
| Practice Address |
111 Town Square Place Suite 1203 Pmb 1039 Jersey City NJ 07310 |
| Mailing Address |
111 Town Square Place Suite 1203 Pmb 1039 Jersey City NJ 07310-2784 |
| Practice Telephone | 8883444549 |
| Practice Fax Number | 9086529230 |
| Mailing Telephone | 8883444549 |
| Mailing Fax Number | 9086529230 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | SIMEON MERTYL (CEO PRESIDENT) |
| Authorized Official Telephone | 8883444549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
111 TOWN SQUARE PLACE SUITE 1203 PMB 1039 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701032 | Yekaterina Shteyn, Od, PC | Optometrist | 30-103a Mall Drive West, Jersey City, NJ 07310 | 2019-10-16 |
| 1306397377 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 20 Mall Dr E, Jersey City, NJ 07310 | 2016-10-14 |
| 1285093641 | Amanda Christina Abou Ezzi I | Student in an Organized Health Care Education/Training Program | 30 River Ct, Apt 2302, Jersey City, NJ 07310 | 2016-02-15 |
| 1871967356 | Balvinder Bharj | Optometrist | 20 Mall Drive East, Lenscrafters Macys, Jersey City, NJ 07310 | 2015-11-20 |
| 1578949020 | Dietetic Care Practice LLC | Dietitian, Registered | 110-2907 River Dr South, Jersey City, NJ 07310 | 2015-08-07 |
| 1679816060 | Bendetta Fleming | Specialist/Technologist | 30 Newport Parkway, 507, Jersey City, NJ 07310 | 2013-04-03 |
| 1891041307 | Christina Ai-ling Chu | Optometrist | 30-267 Mall Dr. West, Jersey City, NJ 07310 | 2012-08-02 |
| 1346532538 | Bridget Lane | Speech-Language Pathologist | 45 River Dr So. Apt. 2109, Jersey City, NJ 07310 | 2011-05-06 |
| 1205067576 | Mark S Agababaev | Dentist | 30-71 A Mall Drive West, Jersey City, NJ 07310 | 2009-08-04 |
| 1467659235 | Catherine Chiu | Optometrist | 30-267 Mall Drive West, Jersey City, NJ 07310 | 2007-06-27 |
| Find all providers in zip 07310 | ||||
| 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 |
|---|---|---|---|---|
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1114548500 | Ami Kang Therapy | Clinic/Center | 277 Grove St Ste 202, Jersey City, NJ 07302-3601 | 2020-04-27 |
| 1386289031 | Haven Adolescent Community Respite Center | Clinic/Center | 13 Roosevelt Ave, Jersey City, NJ 07304-1207 | 2019-11-15 |
| 1437791738 | Round Room Psychology, LLC | Clinic/Center | 101 Hudson St Ste 2175, Jersey City, NJ 07302-3915 | 2019-10-08 |
| 1063939908 | Elite Nu Diamond, Inc. | Clinic/Center | 15 Brinkerhoff St, Jersey City, NJ 07304-2922 | 2017-08-22 |
| 1891317327 | Total Care Family Services | Clinic/Center | 286 Halladay St, Jersey City, NJ 07304-3702 | 2020-05-06 |
| 1043867955 | Clear Path Counseling LLC | Clinic/Center | 101 Hudson St Fl 21, Jersey City, NJ 07302-3929 | 2019-08-26 |
| 1104136795 | Catholic Charities of The Archdiocese of Newark | Clinic/Center | 249 Virginia Ave, Jersey City, NJ 07304-3906 | 2010-10-15 |
| 1164753646 | Mount Carmel Guild Behavioral Health System | Clinic/Center | 285 Magnolia Ave, Jersey City, NJ 07306-3906 | 2010-01-22 |
| 1407181472 | Activity and Human Performance Center | Clinic/Center | 95 Martin Luther King Jr Dr, Jersey City, NJ 07305-3025 | 2009-10-08 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07310 |
Please comment or provide details below to improve the information on TRANSFORMATIONAL HEALTHCARE SERVICES.
| 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.