Active NPIOrganization

Creative Intervention For Mental Health And Chemical Dependency, PC

Psychologist, Clinical in Clifton, New Jersey

NPI Number1043360266
Practice location
1149 Bloomfield Ave, Clifton, NJ 07012-2314
Fax
973-365-0868
Last updated
January 31, 2013

Creative Intervention For Mental Health And Chemical Dependency, PC is a healthcare organization based in Clifton, NJ. Creative Intervention For Mental Health And Chemical Dependency, PC practices in Clifton, NJ. The NPI Number for Creative Intervention For Mental Health And Chemical Dependency, PC is 1043360266. The current practice location address for Creative Intervention For Mental Health And Chemical Dependency, PC is 1149 Bloomfield Ave, Clifton, NJ 07012-2314 and can be reached out via phone at 973-365-2300 and via fax at 973-365-0868.

Provider Profile Details

NPI Number
1043360266
Provider Name
Creative Intervention For Mental Health And Chemical Dependency, PC
Provider Entity Type
Organization
Address
1149 Bloomfield Ave, Clifton, NJ 07012-2314
Phone Number
973-365-2300
Fax Number
973-365-0868
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Linda Gochfeld, MD · Medical Director · 609-662-3096
Provider Enumeration Date
January 11, 2007
Last Update Date
January 31, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1149 Bloomfield Ave
Clifton, NJ 07012-2314
Zip
07012-2314
Phone Number
973-365-2300
Fax Number
973-365-0868
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
20 Scotch Road
3RD Floor
Ewing, NJ 08628-2503
City
Ewing
State
NJ
Zip
08628-2503
Phone Number
609-406-0100
Fax Number
609-406-0307

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Community/Behavioral Health · 251S00000X
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Creative Intervention For Mental Health And Chemical Dependency, PC?

The NPI number of Creative Intervention For Mental Health And Chemical Dependency, PC is 1043360266. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Creative Intervention For Mental Health And Chemical Dependency, PC?

Creative Intervention For Mental Health And Chemical Dependency, PC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Creative Intervention For Mental Health And Chemical Dependency, PC practice?

The practice location is 1149 Bloomfield Ave, Clifton, NJ 07012-2314. The office can be reached at 973-365-2300 (phone) or 973-365-0868 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043360266 directly on the NPPES registry website.

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