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NORTH JERSEY COMMUNITY RESEARCH INITIATIVE NPI 1639371446


NPI Information

NPI: 1639371446
Provider Name: NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 31D2220636

Address:
393 CENTRAL AVE
NEWARK, NJ
ZIP 07103
Phone: (973) 483-3444
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NORTH JERSEY COMMUNITY RESEARCH INITIATIVE is a counselor in Newark, NJ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NORTH JERSEY COMMUNITY RESEARCH INITIATIVE NPI is 1639371446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

393 CENTRAL AVE
NEWARK, NJ
ZIP 07103-842
Phone: (973) 483-3444
Fax: (973) 485-7080

The provider's authorized official is Cuthbert Emile Ashby .
The authorized official title is Program Manager and has the following contact phone number (973) 483-3444.

The CLIA number assigned to this NPI record is 31D2220636 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 9/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
22084P0800XPsychiatry & NeurologyPsychiatryX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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