Organization Active NPI

New Directions Behavioral Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newark, NJ
National Provider Identifier
1205040169
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
23255 Issued in NJ
Legal business name
NEW DIRECTIONS BEHAVIORAL HEALTH CENTER
Practice address
9 Lincoln Park
Newark, NJ 07102-2301
Phone
(973) 242-6599
Fax
(973) 242-1976
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. Roy Hargrove Jr.
Title
President
Phone
(973) 242-6599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 100100105 NJ
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 23255 NJ Primary

Addresses

Primary practice location

9 Lincoln Park
Newark, NJ 07102-2301

Mailing address

9 Lincoln Park
Newark, NJ 07102-2301
Phone (973) 242-6599

Other identifiers 3

IdentifierTypeStateIssuer
0019194MedicaidNJ
0156744MedicaidNJ
8702403MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2216574New Directions Behavioral Health Center9 Lincoln Park, Newark, NJ 07102Certificate of waiverMar 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
New Directions Behavioral Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1205040169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022301",
            "telephone_number": "973-242-6599",
            "fax_number": "973-242-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022301",
            "telephone_number": "973-242-6599",
            "fax_number": "973-242-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-242-6599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "100100105",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "23255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019194",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156744",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.