Kaleidoscope Disabilities Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05576000 Issued in NJ

Legal business name

KALEIDOSCOPE DISABILITIES INC

Practice address

810 Belmont Ave
2ND Floor Suite 202
North Haledon, NJ 07508-2357

Phone

(973) 427-4251

Fax

(888) 262-0085

NPI assigned

Jan 12, 2011

Last updated

Jan 12, 2011By 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

Mr. Quincey Holloway, LSW

Title

Executive Director

Phone

(973) 427-4251

Specialties & licenses 1

Addresses

Tax ID family

Kaleidoscope Disabilities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kaleidoscope Disabilities Inc

  • Mental Health Counselor
  • Bloomfield, NJ
  • NPI 1609007244
  NPD tax ID

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1710282389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BELMONT AVE",
            "address_2": "2ND FLOOR SUITE 202",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082357",
            "telephone_number": "973-427-4251",
            "fax_number": "888-262-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BELMONT AVE",
            "address_2": "2ND FLOOR SUITE 202",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082357",
            "telephone_number": "973-427-4251",
            "fax_number": "888-262-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE DISABILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "QUINCEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-427-4251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05576000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebu Idiculla, DMD
• Innova Counseling and Wellness Center, Inc.
• Interventional Spine and Pain Treatment Center, PC
• Alyssa Jackler
• Jenna Janso
• Veronica Karner, LPC
• Housam Kayali, PHARMACIST
• Elizabeth Ann Curko Kera, PHD
• Fred Knight, DPT
• Andrew R Konnerth, LPC

• Social Worker in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.