Portum Wellness and Recovery
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Annandale, NJ
NPI 1508700386 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1508700386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Adeena Jacobson, BCBA
- Title
- Ceo
- Phone
- (917) 882-2744
Practitioners 1
-
Adeena Jacobson, MSED, BCBA
National Provider Directory
Locations
1465 State Route 31 S
Ste 1101
Annandale, NJ 08801
Phone (551) 306-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1465 State Route 31 S Ste 1101
Annandale, NJ 08801-3129
Mailing address
1465 State Route 31 S Ste 1101
Annandale, NJ 08801-3129
Phone (551) 306-4000
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- Professional and Life Coahing Inc.
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- Nisha Ramesh
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All providers in Annandale, NJ · Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.