POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC (NPI# 1720540917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720540917 |
| 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 | 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 | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| 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 |
| 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 |
| 1649732835 | Power House Psychotherapy & Addiction, LLC | Clinic/Center | 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1578074357 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 37 Lincoln Park, Newark, NJ 07102-2390 | 2017-10-19 |
| 1497266266 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 99 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-19 |
| 1548771892 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 105 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-13 |
| 1609320258 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 75 Lincoln Park, Newark, NJ 07102-2303 | 2016-08-12 |
| 1699123729 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 61 Lincoln Park, Newark, NJ 07102-2390 | 2016-05-31 |
| 1346634714 | Angel Hope House | Substance Abuse Rehabilitation Facility | 800 Clinton Ave, Newark, NJ 07108-1004 | 2015-03-24 |
| 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.