Haven Adolescent Community Respite Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAVEN ADOLESCENT COMMUNITY RESPITE CENTER

Practice address

13 Roosevelt Ave
Jersey City, NJ 07304-1207

Phone

(201) 433-3891

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Taube, LSW

Title

Operational Director

Phone

(201) 433-3891

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1386289031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DUNCAN AVE APT 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042150",
            "telephone_number": "201-433-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ROOSEVELT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041207",
            "telephone_number": "201-433-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ADOLESCENT COMMUNITY RESPITE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "TAUBE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPERATIONAL DIRECTOR",
        "authorized_official_telephone_number": "201-433-3891",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Hartnett, R.D.
• Christopher Harvey
• Ahmed Hasan
• Mustafa Hasan
• Alexandra Hauser, APN
• Haven Dental Group, PC
• Naji Hawawini, DPM
• Hawn Dialysis LLC
• Jorelle Hayes
• Myrna S Haynes-Poole

• Community/Behavioral Health Agency in Jersey City, NJ
• Providers in Jersey City, 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 Nov 15, 2019; 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.