HENRY J.AUSTIN HEALTH CENTER AT ALL ACCESS MENTAL HEALTH (NPI# 1588035307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588035307 |
Entity Type | Organization |
Organization Name | HENRY J.AUSTIN HEALTH CENTER AT ALL ACCESS MENTAL HEALTH |
Practice Address |
819 Alexander Rd Princeton NJ 08540-6303 |
Practice Telephone | 6092785900 |
Practice Fax Number | 6093924827 |
Mailing Telephone | 6092785900 |
Mailing Fax Number | 6093924827 |
Enumeration Date | 2015-10-20 |
Last Update Date | 2015-10-20 |
Authorized Official Name | DR. KEMI A. ALLI (CEO) |
Authorized Official Telephone | 6092785900 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
819 ALEXANDER RD |
City | PRINCETON |
State | NJ |
Zip Code | 08540-6303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497835144 | Kerri Smith | Social Worker | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2006-10-17 |
1568069490 | Kelly Karbasian | Counselor | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2020-10-05 |
1750920658 | Be'ianka Jazz'e Taylor Gordon | Licensed Practical Nurse | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2019-12-26 |
1386114304 | Barbara Duchnowski | Social Worker | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2018-12-03 |
1558830174 | Chelsea Totaro | Social Worker | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2018-11-14 |
1609389790 | Jemma Kalish | Counselor | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2017-11-10 |
1013444694 | Dolores Degiacomo | Social Worker | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2017-05-15 |
1528519295 | Baddryyah Watkins | Licensed Practical Nurse | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2016-10-18 |
1649723172 | Devon Herbermann | Licensed Practical Nurse | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2016-08-02 |
1144675018 | Kristi Lynn Vazquez | Licensed Practical Nurse | 819 Alexander Rd, Princeton, NJ 08540-6303 | 2016-04-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1003453317 | Bluestone Health Association, Inc. | Clinic/Center | 106 Thorn St, Princeton, WV 24740-3560 | 2019-12-05 |
1366949877 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 606 W Main St, Princeton, MO 64673-1140 | 2018-04-11 |
1437508314 | Bluestone Health Association, Inc. | Clinic/Center | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2016-06-10 |
1912377813 | Bluestone Health Association, Inc. | Clinic/Center | 200 12th Street Ext, Princeton, WV 24740-2329 | 2015-10-05 |
1740672617 | Pennyroyal Healthcare Services, Inc | Clinic/Center | 310 Hawthorne St, Princeton, KY 42445-1622 | 2015-03-02 |
1205952140 | Indian Township Tribal Government | Clinic/Center | 401 Peter Dana Point Road, Princeton, ME 04668-0097 | 2007-03-22 |
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1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
1780148395 | Horizon Health Center, Inc. | Clinic/Center | 55 Meadowlands Pkwy Ste 200, Secaucus, NJ 07094-2977 | 2019-01-28 |
1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
1447746862 | Project H.o.p.e., Inc. | Clinic/Center | 1494 Federal St, Camden, NJ 08105-1753 | 2018-07-09 |
1194226373 | Ocean Health Initiatives, Inc. | Clinic/Center | 20 Jackson St Ste E, Freehold, NJ 07728-2476 | 2018-02-23 |
1033653860 | Project H.o.p.e., Inc. | Clinic/Center | 1514 Federal St, Camden, NJ 08105-1712 | 2016-12-13 |
1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
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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.