Portum Wellness and Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PORTUM WELLNESS AND RECOVERY

Practice address

1465 State Route 31 S Ste 1101
Annandale, NJ 08801-3129

Phone

(551) 306-4000

NPI assigned

Apr 14, 2026

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Adeena Jacobson, BCBANPI 1437411550

Title

Ceo

Phone

(917) 882-2744

Specialties & licenses 2

Addresses

Locations

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.

• Adeena Jacobson, MSED, BCBA

  • Behavior Analyst
  • Monsey, NY
  • NPI 1437411550
  NPD Authorized official

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1508700386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 STATE ROUTE 31 S STE 1101",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013129",
            "telephone_number": "551-306-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 STATE ROUTE 31 S STE 1101",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013129",
            "telephone_number": "551-306-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTUM WELLNESS AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ADEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-882-2744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manisha Patel
• Pediatric Dental Associates of Clinton, P.a.
• Portum Behavioral Health
• Portum Private Practice LLC
• Portum Private Practice LLC
• Preferred Therapeutics, LLC
• Professional and Life Coahing Inc.
• Ragan Dental Enterprises (Clinton Center Dental)
• Nisha Ramesh, DDS
• Helen Stephanie Raytek, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Annandale, NJ
• Providers in Annandale, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.