Innova Counseling and Wellness Center, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INNOVA COUNSELING AND WELLNESS CENTER, INC.

Practice address

681 High Mountain Rd
North Haledon, NJ 07508-2723

Phone

(973) 427-3255

NPI assigned

May 16, 2007

Last updated

Dec 15, 2014By 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

Dr. Susan J Creange, PH.DNPI 1740496538

Title

Vice President Psychologist

Phone

(973) 427-3255

Specialties & licenses 1

Addresses

Other names 1

• Bethel Institute of Family Services, Inc. Former legal business name

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.

• Susan J Creange, PH.D

  • Clinical Psychologist
  • North Haledon, NJ
  • NPI 1740496538
  Authorized official Same address or phone

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1629284419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082723",
            "telephone_number": "973-427-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082723",
            "telephone_number": "973-427-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA COUNSELING AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "CREANGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-427-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Institute of Family Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychologist in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.