Transformational Healthcare Services - Medicare Mental Health Clinic in Glen Ridge, NJ

Transformational Healthcare Services is a medicare enrolled mental health clinic (Counselor - Mental Health) in Glen Ridge, New Jersey. The current practice location for Transformational Healthcare Services is 123 Highland Ave Ste G2-a, Glen Ridge, New Jersey. For appointments, you can reach them via phone at (888) 344-4549. The mailing address for Transformational Healthcare Services is 111 Town Square Place, Suite 1203 Pmb 1039, Jersey City, New Jersey and phone number is (888) 344-4549.

Transformational Healthcare Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669082756. 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 (888) 344-4549.

Contact Information

Transformational Healthcare Services
123 Highland Ave Ste G2-a
Glen Ridge
NJ 07028-1527
(888) 344-4549
(908) 652-9230

Map and Direction


Mental Health Clinic Profile

Full NameTransformational Healthcare Services
SpecialityCounselor
Location123 Highland Ave Ste G2-a, Glen Ridge, New Jersey
Authorized Official Name and PositionSimeon Mertyl (CEO PRESIDENT)
Authorized Official Contact8883444549
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Transformational Healthcare Services
111 Town Square Place
Suite 1203 Pmb 1039
Jersey City
NJ 07310-2784

Ph: (888) 344-4549
Transformational Healthcare Services
123 Highland Ave Ste G2-a
Glen Ridge
NJ 07028-1527

Ph: (888) 344-4549

NPI Details:

NPI Number1669082756
Provider Enumeration Date08/04/2020
Last Update Date02/12/2024
Certification Date02/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0547672016
Medicare Enrollment IDO20201208001233

Medical Identifiers

Medical identifiers for Transformational Healthcare Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669082756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
251E00000XHome Health (* (Not Available))Secondary
251J00000XNursing Care (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
261QH0700XClinic/center - Hearing And Speech (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QP2400XClinic/center - Prison Health (* (Not Available))Secondary
3104A0625XAssisted Living Facility - Assisted Living, Mental Illness (* (Not Available))Secondary
3104A0630XAssisted Living Facility - Assisted Living, Behavioral Disturbances (* (Not Available))Secondary
333600000XPharmacy (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Transformational Healthcare Services acts as a billing entity for following providers:
Provider NameAlexandra M D'elia
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1922558790
PECOS PAC ID: 4183907751
Enrollment ID: I20170206000090
Provider NameDione Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1912044595
PECOS PAC ID: 6800029661
Enrollment ID: I20180424002860
Provider NameChristine Limpin
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881183382
PECOS PAC ID: 7315359130
Enrollment ID: I20201218000621
Provider NameNancy Dessources Adegoke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154503191
PECOS PAC ID: 3779807003
Enrollment ID: I20201221000028

Reviews and Comments

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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.