GREEN OAK PROFESSIONAL HEALTH SERVICES (NPI# 1649825944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649825944 |
| Entity Type | Organization |
| Organization Name | GREEN OAK PROFESSIONAL HEALTH SERVICES |
| Practice Address |
120 Millburn Ave Ste 201 Millburn NJ 07041-1935 |
| Mailing Address |
735 S 12th St Newark NJ 07103-1740 |
| Practice Telephone | 9733920217 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | KAZEEM ALAO OLAJIDE (PRESIDENT) |
| Authorized Official Telephone | 9733920217 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
120 MILLBURN AVE STE 201 |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487919 | Beth P Jassin | Clinic/Center | 68 Essex St, Millburn, NJ 07041 | 2018-08-19 |
| 1871872226 | Sammaret Behavioral Services PC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2011-08-16 |
| 1043476450 | M. Kevin O'connor Md LLC | Clinic/Center | 225 Millburn Ave, Suite 210, Millburn, NJ 07041-1737 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443650 | Quantum Behavioral Health Services LLC | Clinic/Center | 144 Mill St, Toms River, NJ 08757-5156 | 2020-10-08 |
| 1811515042 | Michelle Kerekes Lpc | Clinic/Center | 623 River Rd Ste 1, Fair Haven, NJ 07704-3267 | 2020-07-14 |
| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 1104385327 | Christian Davis, Phd, LLC | Clinic/Center | 179 Cedar Ln Ste C, Teaneck, NJ 07666-4304 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
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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.