Organization Active NPI

American International Clinical Enterprise

  • Clinical Psychologist
  • Newark, NJ
National Provider Identifier
1235654088
Registry record updated Aug 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
173-040 Issued in NJ
Legal business name
AMERICAN INTERNATIONAL CLINICAL ENTERPRISE
Practice address
50 Norfolk St
Newark, NJ 07103-3228
Phone
(973) 623-3386
NPI assigned
Aug 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2017

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

Authorized official

Name
Dr. Candrick C. Darkashade, PHD
Title
Ceo
Phone
(848) 467-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 173-040 NJ Primary

Addresses

Primary practice location

50 Norfolk St
Newark, NJ 07103-3228

Mailing address

610 Forest View Dr
Avenel, NJ 07001-2176

Other names 1

  • AMEICE INTERNATIONAL Doing business as

National Provider Directory

National Provider Directory

Locations

50 Norfolk St
Newark, NJ 07103
Phone (973) 623-3386

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502496000000",
    "number": "1235654088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FOREST VIEW DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORFOLK ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033228",
            "telephone_number": "973-623-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INTERNATIONAL CLINICAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2017-08-12",
        "status": "A",
        "authorized_official_last_name": "DARKASHADE",
        "authorized_official_first_name": "CANDRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "848-467-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "173-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMEICE INTERNATIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 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.