Darrell Peter Shoulars, M.A., M.A.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

778909 Issued in NJ

Practice address

10 N End Ter
Newark, NJ 07104-4404

Phone

(862) 704-3524

NPI assigned

Aug 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro East Community Care, LLC.

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1366090581

  Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1609422393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N END TER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044404",
            "telephone_number": "862-704-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N END TER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044404",
            "telephone_number": "862-704-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULARS",
        "first_name": "DARRELL",
        "middle_name": "PETER",
        "credential": "M.A., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": "778909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine on Mental Health Therapy, LLC
• Shining Star Dialysis Inc
• James Shipman
• Sara Margaret Shirley
• Abdullah Shoeb, MD
• Shree Shakti Inc.
• Shree Shakti Inc.
• Shree-Shakti Inc
• Manita Shrestha, NP
• Eli Shteingart, DMD

• Developmental Disabilities Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.