Urban Life Skills Academy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00471600 Issued in NJ

Legal business name

URBAN LIFE SKILLS ACADEMY

Practice address

1426 7TH Ave
Neptune, NJ 07753-4944

Phone

(732) 682-4343

Fax

(732) 361-8142

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Markim Shakur-Purvis, MA, LPC, LCADC

Title

Director

Phone

(732) 682-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1275997090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 7TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534944",
            "telephone_number": "732-682-4343",
            "fax_number": "732-361-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 7TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534944",
            "telephone_number": "732-682-4343",
            "fax_number": "732-361-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN LIFE SKILLS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SHAKUR-PURVIS",
        "authorized_official_first_name": "MARKIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-682-4343",
        "authorized_official_credential": "MA, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00471600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.