Reservoir Health - Medicare Mental Health Clinic in Fairfield, NJ

  1. Home
  2. Mental Health Clinics
  3. NJ
  4. Fairfield
Reservoir Health is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Fairfield, New Jersey. The current practice location for Reservoir Health is 165 Passaic Ave, Suite 200, Fairfield, New Jersey. For appointments, you can reach them via phone at (800) 413-8020. The mailing address for Reservoir Health is 165 Passaic Ave, Suite 200, Fairfield, New Jersey and phone number is (800) 413-8020.

Reservoir Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053971572. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (800) 413-8020.

Contact Information

Reservoir Health
165 Passaic Ave
Suite 200
Fairfield
NJ 07004-1580
(800) 413-8020
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameReservoir Health
SpecialityClinic/Center
Location165 Passaic Ave, Fairfield, New Jersey
Authorized Official Name and PositionVictoria Delisio (AUTHORIZED OFFICIAL)
Authorized Official Contact8004138020
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Reservoir Health
165 Passaic Ave
Suite 200
Fairfield
NJ 07004-1580

Ph: (800) 413-8020		Reservoir Health
165 Passaic Ave
Suite 200
Fairfield
NJ 07004-1580

Ph: (800) 413-8020

NPI Details:

NPI Number1053971572
Provider Enumeration Date06/17/2019
Last Update Date10/29/2024
Certification Date10/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7315334000
Medicare Enrollment IDO20220427002709

Medical Identifiers

Medical identifiers for Reservoir Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053971572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Reservoir Health acts as a billing entity for following providers:
Provider NameTamara Melendez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043642051
PECOS PAC ID: 4385867936
Enrollment ID: I20140529000022
Provider NameJenika L Miles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255503892
PECOS PAC ID: 7113249855
Enrollment ID: I20150130000100
Provider NameJenna L Schipper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558768515
PECOS PAC ID: 4486979655
Enrollment ID: I20150210001417
Provider NameChristianah Adelakun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043646839
PECOS PAC ID: 9436450228
Enrollment ID: I20151221001959
Provider NameOlga Gonzalez-byrne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336516582
PECOS PAC ID: 1850680679
Enrollment ID: I20160518001612
Provider NameKaren A Yeboah Norment
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063955094
PECOS PAC ID: 6507149515
Enrollment ID: I20170216000872
Provider NameCatherine D Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477793610
PECOS PAC ID: 5698043305
Enrollment ID: I20170622000119
Provider NamePeg M Schanne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396774386
PECOS PAC ID: 1355249053
Enrollment ID: I20170721000511
Provider NameJoshua C Oderanti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114441102
PECOS PAC ID: 6002172590
Enrollment ID: I20171116001845
Provider NameErica Saliu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275021107
PECOS PAC ID: 9436404308
Enrollment ID: I20180618000643
Provider NameKesha Eden Cheron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720557184
PECOS PAC ID: 8123363793
Enrollment ID: I20181231001078
Provider NameMartine J Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265082812
PECOS PAC ID: 2567896939
Enrollment ID: I20191218002674
Provider NameCassandra Alexandre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053958140
PECOS PAC ID: 2163850892
Enrollment ID: I20200312000194
Provider NameMargaret Rode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932739273
PECOS PAC ID: 5294163598
Enrollment ID: I20200320000500
Provider NameUlanda Marcus-aiyeku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326637174
PECOS PAC ID: 3779992540
Enrollment ID: I20210506002433
Provider NameEsohe Obasohan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801476932
PECOS PAC ID: 3173922929
Enrollment ID: I20210527000084
Provider NameAlena Debrosse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053561738
PECOS PAC ID: 3072403062
Enrollment ID: I20210916001176
Provider NameAlexia Totoro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437564317
PECOS PAC ID: 9133527286
Enrollment ID: I20211005000431
Provider NameKrystal L Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356000343
PECOS PAC ID: 3173915881
Enrollment ID: I20220108000108
Provider NameDebora Monserrat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134698640
PECOS PAC ID: 9335488816
Enrollment ID: I20220201002947
Provider NameOlateju Odumosu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881225977
PECOS PAC ID: 9335577360
Enrollment ID: I20220204000849
Provider NamePhenita Mouzon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003563636
PECOS PAC ID: 7315333960
Enrollment ID: I20220406003049
Provider NameDorsa H Seimaa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235712530
PECOS PAC ID: 4789079104
Enrollment ID: I20220429000507
Provider NameYuan Zhang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194240390
PECOS PAC ID: 2668862970
Enrollment ID: I20220512000007
Provider NameJacqueline Haydee Hunterton-anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710597422
PECOS PAC ID: 7719364504
Enrollment ID: I20220517001502
Provider NamePhadadria Michele Randall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730761479
PECOS PAC ID: 8224415757
Enrollment ID: I20220522000015
Provider NameMercedes Noble
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609460732
PECOS PAC ID: 6305224551
Enrollment ID: I20220601000293
Provider NameNerisa Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700532272
PECOS PAC ID: 8820476435
Enrollment ID: I20220627000290
Provider NameSelami Koch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588398937
PECOS PAC ID: 8820472590
Enrollment ID: I20220830000032
Provider NameBrenda Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366761371
PECOS PAC ID: 0244361095
Enrollment ID: I20220915001149
Provider NameMarybeth Blood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396311932
PECOS PAC ID: 3274919337
Enrollment ID: I20220928000390
Provider NameFitsum E Alemu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255051306
PECOS PAC ID: 7012384100
Enrollment ID: I20221102001193
Provider NameOlurounke Remi- Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821564535
PECOS PAC ID: 4587909254
Enrollment ID: I20221109002166
Provider NameFaith Pettyjohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508431800
PECOS PAC ID: 3476958075
Enrollment ID: I20230206001174
Provider NameLashon Simpson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205542230
PECOS PAC ID: 2264804590
Enrollment ID: I20230214000897
Provider NameSean Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447947106
PECOS PAC ID: 6305204108
Enrollment ID: I20230627001928
Provider NameLisa Scarlatella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073274049
PECOS PAC ID: 4880049014
Enrollment ID: I20231009001671
Provider NameKimberlie Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164077384
PECOS PAC ID: 1759702855
Enrollment ID: I20231207001782
Provider NameDana S Howell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013674084
PECOS PAC ID: 7113372491
Enrollment ID: I20240202000920
Provider NameJacquelyn Regina Zagone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003500513
PECOS PAC ID: 7517319080
Enrollment ID: I20240216002819
Provider NameMyrto Mcneil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144779067
PECOS PAC ID: 3870871304
Enrollment ID: I20240228004073

Reviews and Comments

Clinic/Center in Fairfield, NJ

Autism Sports Academy
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 435 Hollywood Ave Ste 11, Fairfield, NJ 07004
Phone: 551-280-3172    
Center For Childrens Behavioral Health Incorporated
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 356 Horseneck Rd, Fairfield, NJ 07004
Phone: 732-330-4223    
Brave Wings Academy, Llp
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 155 Passaic Ave Ste 150, Fairfield, NJ 07004
Phone: 973-800-8515    
Neurophysiologic Interpretive Medicine Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 700 Us Highway 46, Suite 420, Fairfield, NJ 07004
Phone: 973-882-3456    Fax: 973-882-3450
Beyond Today
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 277 Fairfield Rd, Suite 102, Fairfield, NJ 07004
Phone: 973-462-4409    
Full Recovery, Inc. Dba Full Recovery Wellness Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 333 Route 46 W, Fairfield, NJ 07004
Phone: 973-244-0022    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.