DR. CANDRICK C. DARKASHADE (NPI# 1225553084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225553084 |
| Entity Type | Individual |
| Full Name | DR. CANDRICK C. DARKASHADE |
| Practice Address |
285 Roseville Ave Newark NJ 07107-1703 |
| Mailing Address |
610 Forest View Drive Avenel NJ 07001 |
| Practice Telephone | 9734812200 |
| Mailing Telephone | 8484671409 |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
173-040 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Norfolk St, Newark, NJ 071033228 | 9736233386 | |
| 1958 Westfield Ave, Scotch Plains, NJ 070761764 | 9084055802 |
| Street Address |
285 ROSEVILLE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285898924 | Roseville Health Care LLC | Assisted Living Facility | 285 Roseville Ave, Newark, NJ 07107-1703 | 2008-07-11 |
| 1659898120 | American Community Clinical Outreach Centers | Psychologist | 285 Roseville Ave, Newark, NJ 07107-1703 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047746 | Center for Grief Therapy and Education, P.a. | Psychologist | 300 Creek View Rd Ste 101a, Newark, DE 19711-8547 | 2019-11-15 |
| 1467097113 | Creekview Psychological Assessment Center, Pa | Psychologist | 300 Creek View Rd Ste 101b, Newark, DE 19711-8547 | 2019-11-15 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1235654088 | American International Clinical Enterprise | Psychologist | 50 Norfolk St, Newark, NJ 07103-3228 | 2017-08-12 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1467857334 | Kendra Koehler | Psychologist | Christiana Care Health System 4755 Rd, Suite 1070, Newark, DE 19718-0001 | 2014-11-04 |
| 1265834493 | Charlotte Selig | Psychologist | 19 Newland Ct, Newark, DE 19713-2815 | 2014-09-18 |
| 1558617423 | Justin Robert Misurell | Psychologist | 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011 | 2012-07-30 |
| 1295025146 | Rosemary Szczechowski | Psychologist | 14 Willow Creek Ln, Newark, DE 19711-3422 | 2011-04-12 |
| 1982902722 | Sally Ramsden Barker | Psychologist | J-25 Omega Drive, Newark, DE 19713-0000 | 2011-03-03 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.