NPIMap

Organization Active NPI

Power House Psychotherapy & Addiction, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, NJ
National Provider Identifier
1649732835
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC
Doing business as
Power House Psychotherapy & Addiction, LLC
Practice address
45 Academy St Ste 303
Newark, NJ 07102-2900
Phone
(973) 878-3900
Fax
(973) 878-3809
NPI assigned
Apr 5, 2019
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Temitope Shakirat Oluguna, LCSW, LCADC, CCSNPI 1679939656
Title
Administrator/Executive Director
Phone
(973) 878-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

45 Academy St Ste 303
Newark, NJ 07102-2900

Mailing address

45 Academy St Ste 303
Newark, NJ 07102-2900
Phone (973) 878-3900

Other names 1

  • Power House Psychotherapy & Addiction, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190822001182 NJ Part B Supplier - Clinic/Group Practice 3971831421 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory
Tax ID family
Power House Psychotherapy Addiction LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1649732835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ACADEMY ST STE 303",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022900",
            "telephone_number": "973-878-3900",
            "fax_number": "973-878-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ACADEMY ST STE 303",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022900",
            "telephone_number": "973-878-3900",
            "fax_number": "973-878-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "OLUGUNA",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_middle_name": "SHAKIRAT",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-878-3900",
        "authorized_official_credential": "LCSW, LCADC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power House Psychotherapy & Addiction, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.