DEANDRA GUZMAN (NPI# 1326665480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326665480 |
| Entity Type | Individual |
| Full Name | DEANDRA GUZMAN |
| Practice Address |
431-435 18th Avenue Newark NJ 07108 |
| Practice Telephone | 9086746506 |
| Mailing Telephone | 9086746506 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
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 | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
431-435 18TH AVENUE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1225579857 | Q and K Home Care Services Limited Liability Company | Community Health Worker | 191 Milford Avenue, Newark, NJ 07108 | 2017-03-15 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1952739435 | Unity Global Agency LLC | Home Health | 634 Clinton Avenue, 304, Newark, NJ 07108 | 2013-10-22 |
| 1598996704 | Best Interest Homecare | Chore Provider | 155 1/2d Avon Ave., Newark, NJ 07108 | 2009-08-05 |
| 1790840130 | Rose Garden Nutrition Inc | Pharmacy | 22 Elizabeth Ave, Suite 100, Newark, NJ 07108 | 2006-12-26 |
| 1053494187 | Colden Douglas Raines Jr. | Dentist | 603 Clinton Ave, Newark, NJ 07108 | 2006-10-23 |
| 1114905452 | Chi Fung Ip | Dentist | 804 Clinton Ave, Clinton Hill Dental Assoc, Newark, NJ 07108 | 2006-01-06 |
| Find all providers in zip 07108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
| 1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
| 1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
| 1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
| 1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
| 1164065819 | Elizabeth A Hinton | Counselor | 58 Alexis Dr, Newark, DE 19702-5494 | 2019-10-25 |
| 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.