Four Directions Wellness Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FOUR DIRECTIONS WELLNESS INC.

Practice address

400 Ramapo Ave
Pompton Lakes, NJ 07442-1825

Phone

(973) 858-8163

Fax

(862) 666-1074

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Karl Roman, LCSWNPI 1528517372

Title

Chairman

Phone

(973) 858-8163

Specialties & licenses 3

Addresses

Other names 1

• Four Directions Wellness Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl D Roman, LMSW, LSW,LCSW

  • Clinical Social Worker
  • Pompton Lakes, NJ
  • NPI 1528517372
  NPD Authorized official
• Caren E Jacobs, LCSW

  • Clinical Social Worker
  • Pompton Lakes, NJ
  • NPI 1659677730
  NPD

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1184448441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420493",
            "telephone_number": "973-858-8163",
            "fax_number": "862-666-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMAPO AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421825",
            "telephone_number": "973-858-8163",
            "fax_number": "862-666-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR DIRECTIONS WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "973-858-8163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Directions Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Caroline Evans I
• Falcon Behavioral Care, LLC
• Linda Christine Farrell, MED. NCC
• Carol Fishelman-Rosen, LCSW
• Lucia Teresa Foleno, LSW
• Barbara J Francavilla, LPC, LCADC
• Stephanie Valente Freitas
• Fuad a Ahmad MD PA
• Rosemarie Louise Gala, L.P.C.
• John Galvany, ATC

• Substance Use Disorder Rehabilitation Clinic/Center in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.