| Positive Reset Mental Health Clinic | |
|
6 Cornwall St. Colts Neck NJ 07722 | |
| (732) 616-8090 | |
| Not Available |
| Full Name | Positive Reset Mental Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 Cornwall St., Colts Neck, New Jersey |
| Authorized Official Name and Position | Viktor Dubinskiy (PRESIDENT) |
| Authorized Official Contact | 7326168090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Reset Mental Health Clinic 219 Hidden Lake Dr Morganville NJ 07751-2231 Ph: () - | Positive Reset Mental Health Clinic 6 Cornwall St. Colts Neck NJ 07722 Ph: (732) 616-8090 |
| NPI Number | 1922440627 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Medicare PECOS PAC ID | 7416273644 |
|---|---|
| Medicare Enrollment ID | O20150306001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922440627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janet Karanevich-dono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518280858 PECOS PAC ID: 7911194154 Enrollment ID: I20101214000325 |
| Provider Name | Uche O Keem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750529376 PECOS PAC ID: 3274705819 Enrollment ID: I20111004000515 |
| Provider Name | Azuka M Ofodike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422617 PECOS PAC ID: 8325367931 Enrollment ID: I20150504001144 |
| Provider Name | Sarina Mulleavey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083012918 PECOS PAC ID: 8022309525 Enrollment ID: I20160613002485 |
| Provider Name | Philomina A Igwechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992167738 PECOS PAC ID: 2961799986 Enrollment ID: I20160920000065 |
| Provider Name | Jusleine C Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912347147 PECOS PAC ID: 7810284338 Enrollment ID: I20160928000391 |
| Provider Name | Les Linet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528123288 PECOS PAC ID: 1658403746 Enrollment ID: I20161122000904 |
| Provider Name | Peter O Ako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769197 PECOS PAC ID: 5092065862 Enrollment ID: I20180829002714 |
| Provider Name | Lydia Nicole Keise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346562857 PECOS PAC ID: 1052652971 Enrollment ID: I20190402002874 |
| Provider Name | Janet Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467924233 PECOS PAC ID: 1759616840 Enrollment ID: I20190711001570 |
| Provider Name | Michael Brownbridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578072559 PECOS PAC ID: 2769714955 Enrollment ID: I20191021001475 |
| Provider Name | Sana Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386293413 PECOS PAC ID: 4284060468 Enrollment ID: I20200206001580 |
| Provider Name | Sharlynn Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922614577 PECOS PAC ID: 3072932433 Enrollment ID: I20201005000252 |
| Provider Name | Adenike Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509441 PECOS PAC ID: 6800201419 Enrollment ID: I20210212000083 |
| Provider Name | Amanda Adiyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295339398 PECOS PAC ID: 2365858164 Enrollment ID: I20210302002137 |
| Provider Name | Zona Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710513817 PECOS PAC ID: 9234546433 Enrollment ID: I20210407000005 |
| Provider Name | Giulia Bayuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215426911 PECOS PAC ID: 9931504693 Enrollment ID: I20210819000528 |
| Provider Name | Lynda N Uzonwanne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851968515 PECOS PAC ID: 5799174462 Enrollment ID: I20211118001118 |
| Provider Name | Larriesa Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144977281 PECOS PAC ID: 9032598230 Enrollment ID: I20220617002080 |
| Provider Name | Danielle Caswell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386109254 PECOS PAC ID: 5395112619 Enrollment ID: I20221029000085 |
| Provider Name | Melanie Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528701836 PECOS PAC ID: 6800263096 Enrollment ID: I20221101000117 |
| Provider Name | Denise Depalma-karpf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760115703 PECOS PAC ID: 7719354323 Enrollment ID: I20221110000060 |
| Provider Name | Jacqulean Olivo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346722998 PECOS PAC ID: 4789058991 Enrollment ID: I20230329001372 |
| Provider Name | Kathryn Mcbratney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922711910 PECOS PAC ID: 5698149805 Enrollment ID: I20230329001428 |
| Provider Name | Fatmata Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629353404 PECOS PAC ID: 4183062110 Enrollment ID: I20240409004192 |
| Provider Name | Kelly Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801553532 PECOS PAC ID: 0648712943 Enrollment ID: I20240601000419 |
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