POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC (NPI# 1992213581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992213581 |
| Entity Type | Organization |
| Organization Name | POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC |
| Practice Address |
654 Mount Prospect Ave Ste 201 Newark NJ 07104-3110 |
| Practice Telephone | 8628888146 |
| Mailing Telephone | 9738783900 |
| Mailing Fax Number | 9738783809 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-07-21 |
| Authorized Official Name | TEMITOPE SHAKIRAT COATES (ADMINISTRATOR/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9738783900 |
| Authorized Official Credential | LCSW, LCADC, CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649732835 | Power House Psychotherapy & Addiction, LLC | Clinic/Center | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1720540917 | Power House Psychotherapy & Addiction, LLC | Substance Abuse Rehabilitation Facility | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1629586219 | Power House Psychotherapy & Addiction, LLC | Community/Behavioral Health | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2018-01-17 |
| 1003330846 | Power House Psychotherapy & Addiction, LLC | Social Worker | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2017-08-02 |
| Street Address |
654 MOUNT PROSPECT AVE STE 201 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1649732835 | Power House Psychotherapy & Addiction, LLC | Clinic/Center | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1720540917 | Power House Psychotherapy & Addiction, LLC | Substance Abuse Rehabilitation Facility | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2019-04-05 |
| 1629586219 | Power House Psychotherapy & Addiction, LLC | Community/Behavioral Health | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2018-01-17 |
| 1003330846 | Power House Psychotherapy & Addiction, LLC | Social Worker | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1528591500 | Bemi Care Human Services LLC | Case Management | 179b Court St, Newark, NJ 07103-3824 | 2017-04-06 |
| 1609235977 | We Care Community Wellness Connection | Case Management | 296 Kerrigan Blvd, Suite 5 3rd Floor, Newark, NJ 07106-3437 | 2016-02-15 |
| 1134529464 | Valueoptions of New Jersey, Inc. | Case Management | 3 Penn Plz E # Pp-03v, Newark, NJ 07105-2258 | 2014-08-22 |
| 1982020582 | Wellcare Health Plans of New Jersey, Inc. | Case Management | 550 Broad St, 12th Floor, Newark, NJ 07102-4531 | 2014-03-07 |
| 1679910699 | Topaz Developments | Case Management | 45 Academy St Ste 309, Newark, NJ 07102-2900 | 2013-05-31 |
| 1992001945 | Vip Care, Inc. | Case Management | 60 Ferry St Ste A, Newark, NJ 07105-1888 | 2011-02-08 |
| 1295860724 | Licking County Board of Mrdd | Case Management | 65 W Church St, Newark, OH 43055-5013 | 2007-02-23 |
| 1184678500 | The Main Place, Inc. | Case Management | 112 S 3rd St, Newark, OH 43055-5335 | 2006-05-20 |
| 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.