Social Club House Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOCIAL CLUB HOUSE INC

Practice address

58 Brown Ave
Springfield, NJ 07081-2902

Phone

(973) 376-2500

Fax

(973) 376-5737

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Michael Samet

Title

VP

Phone

(973) 376-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Social Clubhouse Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Social Clubhouse Inc.

  • Case Management Agency
  • Springfield, NJ
  • NPI 1659738854
  NPD tax ID
• Social Clubhouse Inc.

  • Community/Behavioral Health Agency
  • Springfield, NJ
  • NPI 1922465129
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlena Ann Boeni, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
  • NPI 1649965500
  Medicare reassignment

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1720124860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BROWN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812902",
            "telephone_number": "973-376-2500",
            "fax_number": "973-376-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BROWN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812902",
            "telephone_number": "973-376-2500",
            "fax_number": "973-376-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL CLUB HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SAMET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "973-376-2500"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6782906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyline Dental
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• Miryam Smilow
• Dean Smith, MA, LCSW
• Mya C Smith
• Social Clubhouse Inc.
• Social Clubhouse Inc.
• Social Recovery Center LLC
• Sharon Marie Somaine, RN
• Specialty Orthopaedics, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.