American Community Clinical Outreach Centers

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

173-040 Issued in NJ

Legal business name

AMERICAN COMMUNITY CLINICAL OUTREACH CENTERS

Doing business as

Amecco-USA

Practice address

285 Roseville Ave
Newark, NJ 07107-1703

Phone

(973) 481-2200

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By 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. Candrick C. Darkashade, PHDNPI 1225553084

Title

Chief Administrator

Phone

(848) 467-1409

Specialties & licenses 7

Addresses

Other names 1

• AMECCO-USA Doing business as

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.

• Candrick C. Darkashade

  • Student in an Organized Health Care Education/Training Program
  • Newark, NJ
  • NPI 1225553084
  Authorized official Same address or phone

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1659898120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FOREST VIEW DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 ROSEVILLE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071703",
            "telephone_number": "973-481-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN COMMUNITY CLINICAL OUTREACH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "DARKASHADE",
        "authorized_official_first_name": "CANDRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "848-467-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "173-040",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "173-404",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMECCO-USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rami Amer, MD
• Ameria Caregivers LTD Liabilty Co.
• America Cares, PTC
• America Society of Thermalism and Climatology
• America Society of Thermalism and Climatology (Gaviota clinic)
• American Current Care of New Jersey PA
• American Diagnostic Imaging of NJ
• American Diagnostic Imaging,Inc (Inner Imaging)
• American Habitare and Counseling, Inc.
• American Habitare and Counseling, Inc.

• Community/Behavioral Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.