KWENYAN PROFESSIONAL HEALTH SERVICES, LLC (NPI# 1326368267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326368267 |
Entity Type | Organization |
Organization Name | KWENYAN PROFESSIONAL HEALTH SERVICES, LLC |
Practice Address |
60 Evergreen Pl Suite 500 East Orange NJ 07018-2106 |
Practice Telephone | 9736726900 |
Practice Fax Number | 8663768262 |
Mailing Telephone | 9736726900 |
Mailing Fax Number | 8663768262 |
Enumeration Date | 2010-06-02 |
Last Update Date | 2011-06-02 |
Authorized Official Name | MR. DANIEL CASSELL (PRESIDENT/CEO) |
Authorized Official Telephone | 9736726900 |
Authorized Official Credential | MA, MPH, LPC, LC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2000479-10 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0227773 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609335736 | Kwenyan Professional Health Services, LLC | Counselor | 200 South St, New Providence, NJ 07974-2151 | 2019-03-18 |
1003392374 | Kwenyan Professional Health Services, LLC | Clinic/Center | 291 Pickford Ave, Phillipsburg, NJ 08865-1626 | 2018-07-19 |
1205312766 | Kwenyan Professional Health Services, LLC | Counselor | 291 Pickford Ave, Phillipsburg, NJ 08865-1626 | 2018-07-17 |
1285928457 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2011-06-06 |
1457671372 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2010-06-02 |
1629221239 | Kwenyan Professional Health Services, LLC | Psychologist | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2008-10-28 |
Street Address |
60 EVERGREEN PL SUITE 500 |
City | EAST ORANGE |
State | NJ |
Zip Code | 07018-2106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861442535 | Pharmacy of America | Pharmacy | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2006-05-11 |
1952840415 | Divine Healthcare Services | Home Health | 60 Evergreen Pl, Suite 501, East Orange, NJ 07018-9992 | 2017-02-16 |
1376813493 | Sherree Lynn Pecci | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2012-01-05 |
1285928457 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2011-06-06 |
1245535699 | Julia Del Carmen Aleman | Social Worker | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2011-01-17 |
1326342189 | Margaret Holanov | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2011-01-07 |
1790088524 | Michelle D Anderson | Social Worker | 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 | 2010-12-16 |
1457671372 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2010-06-02 |
1255663407 | Youth Consultation Service Inc | Community/Behavioral Health | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2010-02-12 |
1356673206 | Youth Consultation Service Inc | Community/Behavioral Health | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2010-02-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
Find all providers in zip 07018 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760851893 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
1285928457 | Kwenyan Professional Health Services, LLC | Clinic/Center | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2011-06-06 |
1215174107 | East Orange General Hospital | Clinic/Center | 300 Central Ave, East Orange, NJ 07018-2819 | 2009-01-14 |
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1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
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City | EAST ORANGE |
Zip Code | 07018 |
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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.