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400 Ramapo Ave Pompton Lakes NJ 07442-1825 | |
| (973) 858-8163 | |
| (862) 666-1074 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 400 Ramapo Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Karl D Roman (PRESIDENT) |
| Authorized Official Contact | 9738588163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 493 Pompton Lakes NJ 07442-0493 Ph: (973) 858-8163 | 400 Ramapo Ave Pompton Lakes NJ 07442-1825 Ph: (973) 858-8163 |
| NPI Number | 1376165670 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 7214343060 |
|---|---|
| Medicare Enrollment ID | O20210303000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376165670 | NPI | - | NPPES |
| Provider Name | Caren Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659677730 PECOS PAC ID: 5496932881 Enrollment ID: I20110613000386 |
| Provider Name | Karl Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528517372 PECOS PAC ID: 2769898519 Enrollment ID: I20210303001082 |
| Provider Name | Tina Amador |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912357534 PECOS PAC ID: 8123567534 Enrollment ID: I20240829002280 |
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Four Directions Wellness Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Ramapo Ave, Pompton Lakes, NJ 07442 Phone: 973-858-8163 Fax: 862-666-1074 | |
Pathways Counseling Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Pompton Ave, Pompton Lakes, NJ 07442 Phone: 973-835-6337 Fax: 973-616-4688 | |
Barbara Jean Keane, M.s.w., L.c.sw. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Colfax Ave, Pompton Lakes, NJ 07442 Phone: 973-831-8690 Fax: 973-831-4350 | |
Pathways Counseling Center Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16 Pompton Ave, Pompton Lakes, NJ 07442 Phone: 973-835-6337 Fax: 973-616-4688 |