GENESIS P.A.C.E.S. LLP (NPI# 1306236179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306236179 |
| Entity Type | Organization |
| Organization Name | GENESIS P.A.C.E.S. LLP |
| Practice Address |
826 W State St Suite A. Trenton NJ 08618-5350 |
| Practice Telephone | 6093931166 |
| Practice Fax Number | 6093932140 |
| Mailing Telephone | 6093931166 |
| Mailing Fax Number | 6093932140 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | DR. CLEDICIANNE DORVIL (CO-OWNER) |
| Authorized Official Telephone | 6093931166 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
NJ | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
826 W STATE ST SUITE A. |
| City | TRENTON |
| State | NJ |
| Zip Code | 08618-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336515824 | Antoinette Lloyd | Social Worker | 826 W State St, Suite A, Trenton, NJ 08618-5350 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1245543453 | Beverly M Gibson | Counselor | 68 Dunmore Avneue, Ewing, NJ 08618 | 2010-07-16 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| Find all providers in zip 08618 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952732026 | Cledicianne Dorvil | Psychologist | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879984 | Pm Vietze Phd LLC | Psychologist | 957 Cedarbrook Road, Plainfield, NJ 07060-2646 | 2020-07-30 |
| 1275159642 | Family Home Care Services LLC | Psychologist | 7 Glenwood Ave Ste 419c, East Orange, NJ 07017-1065 | 2020-06-22 |
| 1326675034 | Jennifer Yedlin | Psychologist | 540 Queen Anne Rd, Teaneck, NJ 07666-3329 | 2020-03-24 |
| 1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GENESIS P.A.C.E.S. LLP.
| 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.