Center for Holistic Intervention

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CENTER FOR HOLISTIC INTERVENTION

Practice address

7015 Polk St
Guttenberg, NJ 07093-1861

Phone

(908) 679-9211

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Elsie Jimenez, LCSWNPI 1073779450

Title

Lead Clinician

Phone

(908) 679-9211

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elsie Jimenez, L.C.S.W

  • Clinical Social Worker
  • Guttenberg, NJ
  • NPI 1073779450
  NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1386338663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 POLK ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931861",
            "telephone_number": "908-679-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 POLK ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931861",
            "telephone_number": "908-679-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HOLISTIC INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "908-679-9211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy M Bambrick, DPT
• Samuel Bennion, MS
• Steven Howard Bloom, OPHTHALMIC DISPENSER
• Marcia Brown, PHD, CNS
• Jose Manuel Calero, M.D.
• Emily Cohen-Moreira, CLC
• Rigzin Pema Collins, LMSW
• Leonel Cordova, MD
• Natalie Correa, LMHC
• Felix Dailey-Sterling, M.D.

• Adolescent and Children Mental Health Clinic/Center in Guttenberg, NJ
• Providers in Guttenberg, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.