Active NPI
Sikora Center, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camden, NJ
National Provider Identifier
1306165204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 10115-02-04
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030660 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Sikora Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Camden, NJ
- NPI 1598084493
-
- Mental Health Counselor
- Camden, NJ
- NPI 1649475047
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.