KWENYAN PROFESSIONAL HEALTH SERVICES LLC NPI 1003392374

NPI Information

NPI: 1003392374
Provider Name: KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Other Name: KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Address: 291 PICKFORD AVE
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 777-3744

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NPI Details

KWENYAN PROFESSIONAL HEALTH SERVICES, LLC is a mental health (including community mental health center) clinic center in Phillipsburg, NJ. KWENYAN PROFESSIONAL HEALTH SERVICES, LLC NPI is 1003392374. The provider is registered as an organization entity type.
The provider Other Name Is Kwenyan Professional Health Services, Llc.

The provider's business location address is:

291 PICKFORD AVE
PHILLIPSBURG, NJ
ZIP 08865-626
Phone: (908) 777-3744
Fax: (908) 777-3746

The provider's authorized official is Dr. Daniel Estrada Cassell, Ph.d., Mph .
The authorized official title is President/ceo: Administrator and has the following contact phone number (215) 432-3702.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 7/19/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	101950304	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101950304	OTHER	NEW JERSEY	INTENSIVE OUTPATIENT MENTAL HEALTH SERVICES

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: 3/30/2025

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