Organization Active NPI

Clarity Treatment Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Perth Amboy, NJ
National Provider Identifier
1164954285
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
200524 Issued in NJ
Legal business name
CLARITY TREATMENT SERVICES, LLC
Practice address
262 State St
Perth Amboy, NJ 08861-4348
Phone
(732) 442-3535
Fax
(732) 442-3082
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eliezer Vieira De Franca, LCSW, LCADC
Title
Clinical Director
Phone
(732) 442-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 200524 NJ Primary

Addresses

Primary practice location

262 State St
Perth Amboy, NJ 08861-4348

Mailing address

262 State St
Perth Amboy, NJ 08861-4348
Phone (732) 442-3535

Other identifiers 1

IdentifierTypeStateIssuer
0428272C3IMedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1164954285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614348",
            "telephone_number": "732-442-3535",
            "fax_number": "732-442-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614348",
            "telephone_number": "732-442-3535",
            "fax_number": "732-442-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "DE FRANCA",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "VIEIRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-442-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "200524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428272C3I",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.