MR. MICHAEL JEROME DOZIER SR. (NPI# 1669598660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669598660 |
Entity Type | Individual |
Full Name | MR. MICHAEL JEROME DOZIER SR. |
Credential | CADC, CJC |
Practice Address |
80 W Main St Mendham NJ 07945-1230 |
Mailing Address |
830 Whitehorse Hamilton Square Rd Hamilton NJ 08610-1112 |
Practice Telephone | 9735435656 |
Mailing Telephone | 9735435656 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
37CA00053700 | NJ | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902461551 | Michael Ray Dozier | Non-emergency Medical Transport (VAN) | 14552 370th St, Menahga, MN 56464-2671 | 2019-05-08 |
1225344823 | Michael D Dozier | Counselor | 6740 Jamestown Drive, Alpharetta, GA 30005 | 2010-08-20 |
Street Address |
80 W MAIN ST |
City | MENDHAM |
State | NJ |
Zip Code | 07945-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093822264 | Daytop Village of Nj | Substance Abuse Rehabilitation Facility | 80 W Main St, Mendham, NJ 07945-1230 | 2006-08-24 |
1205496320 | Mary-elizabeth Eleanor Plutto | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-20 |
1427618966 | Laura Riley | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-17 |
1861991010 | Daytop Village of New Jersey, Inc. | Psychiatric Residential Treatment Facility | 80 W Main St, Mendham, NJ 07945-1257 | 2018-02-02 |
1467988378 | Courtney Braxton | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-05-11 |
1497288930 | Christian Perez | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-04-11 |
1548709793 | Taylor Kayla Herring | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
1992244149 | Kelly Hennebry | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
1821446741 | Shannon Hill | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-06-01 |
1821450966 | Jacqueline Skutka | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
1114151321 | Dawn Marie Gangi | Dermatology | 6 E Main Street, Mendham, NJ 07945 | 2009-05-04 |
1366683856 | Mary Elizabeth Fennelly | Counselor | 80 W. Main Street, Mendham, NJ 07945 | 2009-03-13 |
1760652986 | Sahib H Brown Sr. | Counselor | 80 West Main St, Mendham, NJ 07945 | 2008-03-04 |
1265652416 | Clelia C Ilacqua | Dentist | 5 Cold Hill Rd, Suite 7, Mendham, NJ 07945 | 2007-04-30 |
1891915104 | Kelly Knapp | Counselor | 80 W Main Street, Mendham, NJ 07945 | 2007-04-27 |
1952431652 | Donald F Callahan | Dentist | 2 Knollwood Trail, Mendham, NJ 07945 | 2007-03-06 |
1245302207 | Marie Lalor Rozan | Dermatology | 41 Horizon Drive, Mendham, NJ 07945 | 2006-11-14 |
1245230804 | Charles A Shioleno | Specialist | 8 Tempe Wick Rd, Mendham, NJ 07945 | 2005-07-26 |
1124259643 | Noel Akers | Counselor | 80 West Main Street, Mendham, NJ 07945 | 2009-07-31 |
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Taxonomy Code | 3245S0500X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
Specialization | Substance Abuse Treatment, Children |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093822264 | Daytop Village of Nj | Substance Abuse Rehabilitation Facility | 80 W Main St, Mendham, NJ 07945-1230 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699266916 | New Hope Integrated Behavioral Health Care, Inc | Substance Abuse Rehabilitation Facility | 80 Conover Road, Marlboro, NJ 07746 | 2018-05-22 |
1255833265 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 97 Lincoln Park, Newark, NJ 07102-2388 | 2018-03-06 |
1932539061 | Empire Washitaw De Dugdahmoundyah Nation of Muurs | Substance Abuse Rehabilitation Facility | 106 Assunpink Village, Millham Township, Trenton, NJ 08609 | 2013-11-27 |
1255693586 | Kingdom Living | Substance Abuse Rehabilitation Facility | 119 Windsor Dr, Swedesboro, NJ 08085-2519 | 2012-06-12 |
1740397827 | Daytop Village of Nj | Substance Abuse Rehabilitation Facility | 9 Harding Hwy, Pittsgrove, NJ 08318-4401 | 2006-08-24 |
1033677141 | People Helping People In Need | Substance Abuse Rehabilitation Facility | 50 Union Ave, Irvington, NJ 07111-3262 | 2019-03-07 |
1306337613 | New Hope Integrated Behavioral Health Care, Inc | Substance Abuse Rehabilitation Facility | 80 Conover Road, Marlboro, NJ 07746 | 2018-05-22 |
1194117002 | Robins' Nest Inc. | Substance Abuse Rehabilitation Facility | 416 Ewan Rd, Mullica Hill, NJ 08062-3736 | 2015-03-02 |
1013248137 | Women's Rising/project Home | Substance Abuse Rehabilitation Facility | 657 Bergen Ave, Jersey City, NJ 07304-2649 | 2010-01-29 |
1942340328 | Daytop Village of New Jersey, Inc. | Substance Abuse Rehabilitation Facility | 9 Harding Hwy, Pittsgrove, NJ 08318-4401 | 2007-02-07 |
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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.