CLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC (NPI# 1801427810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801427810 |
| Entity Type | Organization |
| Organization Name | CLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC |
| Practice Address |
540 North Ave Ste 3 Union NJ 07083-7149 |
| Mailing Address |
1220 Victor Ave Union NJ 07083-3706 |
| Practice Telephone | 7183254669 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | CHINENYE OKORO (CEO) |
| Authorized Official Telephone | 7183254669 |
| Authorized Official Credential | DNP APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
540 NORTH AVE STE 3 |
| City | UNION |
| State | NJ |
| Zip Code | 07083-7149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289884 | Family Mental Health Services Ll C | Nurse Practitioner | 540 North Ave Ste 3, Union, NJ 07083-7149 | 2019-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694700 | Kings Medical Associates | Nurse Practitioner | 1021 Caldwell Ave, Union, NJ 07083-5907 | 2020-03-19 |
| 1417590647 | Lyubov Shkarupa Visiting Nurse Services LLC | Nurse Practitioner | 2816 Morris Ave Ste 8, Union, NJ 07083-4842 | 2019-10-21 |
| 1699323006 | Marie G Cadeau-noel | Nurse Practitioner | 288 Hazel Pl, Union, NJ 07083-8307 | 2019-08-28 |
| 1285289884 | Family Mental Health Services Ll C | Nurse Practitioner | 540 North Ave Ste 3, Union, NJ 07083-7149 | 2019-08-09 |
| 1073165767 | Obiageri Ihuoma Anyanwu | Nurse Practitioner | 755 Hemlock Rd, Union, NJ 07083-6403 | 2019-07-12 |
| 1679062640 | Kevin Obi | Nurse Practitioner | 1131 Elker Rd, Union, NJ 07083-5006 | 2018-05-06 |
| 1275083305 | Amity Healthcare Services | Nurse Practitioner | 2386 Morris Ave Ste 107-109, Union, NJ 07083-5723 | 2016-10-13 |
| 1669927224 | Adebola Ajanaku | Nurse Practitioner | 1577 Ridgeway St, Union, NJ 07083-5129 | 2016-08-23 |
| 1881836443 | Lyubov Shkarupa | Nurse Practitioner | 2537 Allen Ave, Union, NJ 07083-3933 | 2009-03-28 |
| 1245870831 | Rachel R. Awolowo | Nurse Practitioner | 2386 Morris Ave Ste 107-109, Union, NJ 07083-5723 | 2020-01-10 |
| Find all providers in UNION | ||||
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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.