NPIMap

Organization Active NPI

Power House Psychotherapy & Addiction, LLC

  • Substance Abuse Rehabilitation Facility
  • Newark, NJ
National Provider Identifier
1720540917
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
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
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
Substance Abuse Rehabilitation Facility 324500000X 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

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 1

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

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": "1720540917",
    "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.