MR. HENRY DUANE HAMILTON I (NPI# 1366685554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366685554 |
| Entity Type | Individual |
| Full Name | MR. HENRY DUANE HAMILTON I |
| Other Name | MR. HENRY DUANE MUHAMMAD(HAMILTON) |
| Credential | LCADC, ICADC, CAMF |
| Practice Address |
60 Evergreen Pl Ste 200&904 East Orange NJ 07018 |
| Mailing Address |
60 Evergreen Pl Ste 200&904 East Orange NJ 07018-2106 |
| Practice Telephone | 9736786015 |
| Practice Fax Number | 9736783968 |
| Mailing Telephone | 9736783966 |
| Mailing Fax Number | 9736783968 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 37LC00118000 | NJ | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00118000 | NJ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00086900 | NJ | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
37CL00118000 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05363800 | NJ | Behavioral Health & Social Service Providers |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
37LC001180 | NJ | Allopathic & Osteopathic Physicians |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NO106752 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 37LC001180 | NJ | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0491187 | 05 | |
| NJ | CAQH | 11890384 | 01 |
| NJ | AETNA | 8576195 | 01 |
| NJ | 0490717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927534 | Henry H Hamilton | Internal Medicine | 1820 Ogden Dr Fl 2, Burlingame, CA 94010-5384 | 2006-01-23 |
| Street Address |
60 EVERGREEN PL STE 200&904 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523180 | Heart & Soul Treatment Center | Counselor | 329 Halsted St, East Orange, NJ 07018-2533 | 2014-02-08 |
| 1487888145 | City of East Orange | Counselor | 110 South Grove Street, 3rd Floor, East Orange, NJ 07018 | 2009-05-11 |
| 1417053000 | Johnson & Associates Counseling & Consultation Group, PC | Counselor | 220 S Harrison St # A, East Orange, NJ 07018-1401 | 2006-09-15 |
| 1710465091 | Project New Way of Life Inc. | Counselor | 60 Evergreen Pl Ste 904, East Orange, NJ 07018-2114 | 2018-07-30 |
| 1477001261 | Bilal Simms | Counselor | 60 State St, East Orange, NJ 07017-1118 | 2016-09-21 |
| 1144695701 | Expressions Behavioral Health Services | Counselor | 134 Evergreen Pl, Suite 709, East Orange, NJ 07018-2011 | 2015-12-08 |
| 1053454801 | Marc Wurgaft | Counselor | 60 Evergreen Pl, Suite 309, East Orange, NJ 07018-2106 | 2007-02-14 |
| 1184630055 | Veronica Lynn Gamble | Counselor | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212617 | Jeanette Roma | Counselor | 340 U S 9, Bayville, NJ 08721-0872 | 2020-10-15 |
| 1467069963 | Caitlyn Higgins | Counselor | 6 Hemlock Ln, Marlboro, NJ 07746-1213 | 2020-09-28 |
| 1225643760 | Lorianne Toth | Counselor | 11 Beckett St, Clayton, NJ 08312-2408 | 2020-09-11 |
| 1043823263 | Ramona Leclaire | Counselor | 111 Rte 35, Cliffwood, NJ 07721-1512 | 2020-08-27 |
| 1114539996 | Edward Michael Cunningham | Counselor | 6 Bently Dr, Sewell, NJ 08080-1827 | 2020-08-21 |
| 1043821697 | Margarette Charles | Counselor | 180 Tices Ln Ste 202, East Brunswick, NJ 08816-1345 | 2020-08-16 |
| 1306457866 | Brooke Aymes | Counselor | 1 E Lakeview Ave, Oaklyn, NJ 08107-1346 | 2020-08-10 |
| 1447869441 | Olivia Benoit | Counselor | 623 English Ct, South Plainfield, NJ 07080-2339 | 2020-07-24 |
| 1487272431 | Alexandra Knight | Counselor | 306 Washington St Ste 303&304, Hoboken, NJ 07030-5162 | 2020-07-07 |
| 1285252296 | Gage Blanck-singer | Counselor | 115 Old Short Hills Rd Apt 563, West Orange, NJ 07052-1048 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
Please comment or provide details below to improve the information on MR. HENRY DUANE HAMILTON I.
| 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.