Tabanaku

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TABANAKU

Practice address

555 High St Ste 9
Mount Holly, NJ 08060-1062

Phone

(732) 423-5025

Fax

(609) 952-0267

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Deremi Adeniyi, PRINCIPAL

Title

Owner

Phone

(732) 423-5025

Specialties & licenses 2

Addresses

Other names 1

• TABANAKU Doing business as

Locations

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1548023849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HIGH ST STE 9",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601062",
            "telephone_number": "732-423-5025",
            "fax_number": "609-952-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGH ST STE 9",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601062",
            "telephone_number": "732-423-5025",
            "fax_number": "609-952-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABANAKU",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ADENIYI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEREMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-423-5025",
        "authorized_official_credential": "PRINCIPAL"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TABANAKU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammie Stewart
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• Ann M Suabedissen, LPC
• Kathryn Suarez, MD
• Kiranmayi Tadi, MD
• Mark A Tatz, MD
• Dianne Johnson Temple
• The Cobbler Shop
• The Lester a. Drenk Behavioral Health Center, Inc.

• All providers in Mount Holly, NJ
• Community/Behavioral Health Agency in New Jersey

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