Help Club - Psychiatric Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00351700 Issued in NJ

Legal business name

HELP CLUB - PSYCHIATRIC SERVICES

Practice address

1819 Oak Tree Rd
Edison, NJ 08820-2740

Phone

(866) 441-1591

Fax

(866) 441-1136

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Satya Indukuri, LPC

Title

Owner

Phone

(866) 441-1591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1174784987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661724",
            "telephone_number": "866-441-1591",
            "fax_number": "866-441-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202740",
            "telephone_number": "866-441-1591",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELP CLUB - PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "INDUKURI",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-441-1591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00351700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Edison, NJ
• Providers in Edison, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.