Clear Choice Behavioral Healthcare, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEAR CHOICE BEHAVIORAL HEALTHCARE, LLC

Practice address

61 Fenner Ave
Clifton, NJ 07013-1049

Phone

(973) 510-4089

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Jose De la Cruz, BANPI 1164987202

Title

Provider

Phone

(973) 510-4089

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jose De la Cruz Sr., ABA

  • Behavior Analyst
  • Clifton, NJ
  • NPI 1164987202
  NPD (past) Authorized official

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1740747351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FENNER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131049",
            "telephone_number": "973-510-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 FENNER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131049",
            "telephone_number": "973-510-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "973-510-4089",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "596-56-2994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Clifton
• City of Clifton
• City Wellness Essentials
• Nicole Ciuppa, RDN
• Frances Gay E Clarete, APN
• Clifford Acupuncture
• Clifton ABA Holdings LLC
• Clifton Acu PT
• Clifton Adult Opportunity Center
• Clifton Adult Opportunity Center

• Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.