PUERTO RICAN FAMILY INSTITUTE INC. NPI 1629105515

NPI Information

NPI: 1629105515
Provider Name: PUERTO RICAN FAMILY INSTITUTE, INC.

Other Name: PUERTO RICAN FAMILY INSTITUTE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
35 JOURNAL SQUARE
SUITE 528
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 610-1446
Get Directions

PUERTO RICAN FAMILY INSTITUTE, INC. is a mental health (including community mental health center) clinic center in Jersey City, NJ. PUERTO RICAN FAMILY INSTITUTE, INC. NPI is 1629105515. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Puerto Rican Family Institute.

The provider's business location address is:

35 JOURNAL SQUARE
SUITE 528
JERSEY CITY, NJ
ZIP 07306-029
Phone: (201) 610-1446
Fax: (201) 610-9426

The provider's authorized official is Frank R Solano .
The authorized official title is Director and has the following contact phone number (201) 610-1446.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/9/2011.

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	103T00000X	Psychologist		000752	PUERTO RICO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	10011-03-04	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	8547602	MEDICAID	NEW JERSEY

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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