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1500 Pleasant Valley Way Ste 305 West Orange NJ 07052-2956 | |
| (973) 535-0627 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Pleasant Valley Way Ste 305, West Orange, New Jersey |
| Authorized Official Name and Position | Daniel Lenzo (VP, FINANCE) |
| Authorized Official Contact | 6467096883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10 Bank St Ste 830 White Plains NY 10606-1952 Ph: (646) 709-6883 | 1500 Pleasant Valley Way Ste 305 West Orange NJ 07052-2956 Ph: (973) 535-0627 |
| NPI Number | 1962175026 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 5597163949 |
|---|---|
| Medicare Enrollment ID | O20211015000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962175026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lee Eban Hindin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194804153 PECOS PAC ID: 3072660265 Enrollment ID: I20090403000281 |
| Provider Name | Ijeoma A Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124304159 PECOS PAC ID: 4880868504 Enrollment ID: I20111115000569 |
| Provider Name | Denise Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732549 PECOS PAC ID: 1557593233 Enrollment ID: I20140411000053 |
| Provider Name | Claire Annia Datus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528794195 PECOS PAC ID: 8022493527 Enrollment ID: I20220920001887 |
| Provider Name | Janet Pierre-toussaint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851811764 PECOS PAC ID: 3971989328 Enrollment ID: I20221007002236 |
| Provider Name | Samantha Santo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336643493 PECOS PAC ID: 7214375534 Enrollment ID: I20240405001653 |
| Provider Name | Jennifer Schleuning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689156135 PECOS PAC ID: 4688105877 Enrollment ID: I20240928000018 |
| Provider Name | Victoria M Germano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962027367 PECOS PAC ID: 2567995590 Enrollment ID: I20241030001038 |
| Provider Name | Rio Brodeur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891399614 PECOS PAC ID: 3779018197 Enrollment ID: I20241121004586 |
| Provider Name | Elizabeth Blaire Martinotti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811403520 PECOS PAC ID: 1153857917 Enrollment ID: I20241204001959 |
| Provider Name | Alexandra Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497316806 PECOS PAC ID: 0749716272 Enrollment ID: I20241209000086 |
Skyheart Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Marion Dr, West Orange, NJ 07052 Phone: 973-486-4559 | |
Morgan Dream Foundation Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 William St, West Orange, NJ 07052 Phone: 973-731-6202 | |
Help For The Helper, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Northfield Ave, West Orange, NJ 07052 Phone: 973-736-4008 | |
Behavior Buzz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Nestro Rd, West Orange, NJ 07052 Phone: 973-851-0890 | |
The Friendship Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Hillcrest Ave, West Orange, NJ 07052 Phone: 973-243-9111 | |
Children's Aid And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-0212 Fax: 973-243-0214 |