Organization Active NPI

Sikora Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camden, NJ
National Provider Identifier
1306165204
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
10115-02-04 Issued in NJ
Legal business name
SIKORA CENTER, INC.
Practice address
615 Clinton St
Camden, NJ 08103-1415
Phone
(856) 963-1312
Fax
(856) 963-2927
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Susan N Smith
Title
Executive Director
Phone
(856) 963-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 10115-02-04 NJ Primary

Addresses

Primary practice location

615 Clinton St
Camden, NJ 08103-1415

Mailing address

PO Box 477
Camden, NJ 08101-0477
Phone (856) 963-1312

Other identifiers 1

IdentifierTypeStateIssuer
0030660MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Sikora Center Inc3 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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1306165204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081010477",
            "telephone_number": "856-963-1312",
            "fax_number": "856-963-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CLINTON ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031415",
            "telephone_number": "856-963-1312",
            "fax_number": "856-963-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKORA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-963-1312"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "10115-02-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030660",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.