MENTAL HEALTH AND ADDICTION CENTER NPI 1831651876

NPI Information

NPI: 1831651876
Provider Name: MENTAL HEALTH AND ADDICTION CENTER,
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 31D2170477

Address:
751 BERGEN AVE
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 687-7167
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MENTAL HEALTH AND ADDICTION CENTER, is a psychiatric/mental health nurse practitioner in Jersey City, NJ. MENTAL HEALTH AND ADDICTION CENTER, NPI is 1831651876. The provider is registered as an organization entity type.

The provider's business location address is:

751 BERGEN AVE
JERSEY CITY, NJ
ZIP 07306-705
Phone: (201) 687-7167
Fax: (201) 653-0917

The provider's authorized official is Nicholas Silao .
The authorized official title is Co-director and has the following contact phone number (917) 597-0082.

The CLIA number assigned to this NPI record is 31D2170477 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 4/16/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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

NPI Synchronization or Removal

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