Active NPI
Creative Intervention for Mental Health and Chemical Dependency,PC
- Community/Behavioral Health Agency
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 000000
- Legal business name
- CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY,PC
- Practice address
- 1149 Bloomfield Ave
Clifton, NJ 07012-2314 - Phone
- (973) 365-2300
- Fax
- (973) 365-0868
- NPI assigned
- Mar 30, 2009
- Last updated
- Mar 27, 2012
- 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
- Dr. Linda Gochfeld, MD
- Title
- Medical Director
- Phone
- (609) 662-3096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 000000 | NJ | Primary |
Addresses
Primary practice location
1149 Bloomfield Ave
Clifton, NJ 07012-2314
Mailing address
20 Scotch Rd
Ewing, NJ 08628-2503
Phone (609) 406-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | MEDICARE PENDING |
National Provider Directory
National Provider DirectoryLocations
1149 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 365-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Princeton, NJ
- NPI 1972650448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1316189830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SCOTCH RD",
"city": "EWING",
"state": "NJ",
"postal_code": "086282503",
"telephone_number": "609-406-0100",
"fax_number": "609-406-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 BLOOMFIELD AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070122314",
"telephone_number": "973-365-2300",
"fax_number": "973-365-0868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY,PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-30",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "GOCHFELD",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "609-662-3096",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PENDING",
"identifier": "000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.