Organization Active NPI

Grace Alone ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Paterson, NJ
National Provider Identifier
1497621429
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GRACE ALONE ABA LLC
Practice address
122 Vreeland Ave
Paterson, NJ 07504-1727
Phone
(914) 216-2264
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Damion Densroy Barrett
Title
Executive Director
Phone
(914) 216-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

122 Vreeland Ave
Paterson, NJ 07504-1727

Mailing address

122 Vreeland Ave
Paterson, NJ 07504-1727
Phone (914) 216-2264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1497621429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 VREELAND AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041727",
            "telephone_number": "914-216-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 VREELAND AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041727",
            "telephone_number": "914-216-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ALONE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "DAMION",
        "authorized_official_middle_name": "DENSROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-216-2264"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.