CENTRO FEED NPI 1790306512

NPI Information

  • NPI: 1790306512
  • Provider Name: CENTRO FEED
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 114 FOREST VIEW DR
    AVENEL, NJ
    ZIP 07001
  • Phone: (848) 467-1409

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NPI Details

CENTRO FEED is a health service psychologist in Avenel, NJ. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). CENTRO FEED NPI is 1790306512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

114 FOREST VIEW DR
AVENEL, NJ
ZIP 07001-184
Phone: (848) 467-1409

The provider's authorized official is Candrick C. Darkashade .
The authorized official title is President-ceo and has the following contact phone number (848) 467-1409.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 5/4/2020.

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
1103TH0100XPsychologistHealth ServiceYes

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: 11/21/2025

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