Great Expectations Clinical and Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREAT EXPECTATIONS CLINICAL AND SUPPORT SERVICES LLC

Practice address

263 Hillside Ave
Suite 6
Nutley, NJ 07110-1180

Phone

(917) 816-4948

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Roman Rubin

Title

Chief Executive Office

Phone

(917) 816-4948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1750814950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVE",
            "address_2": "SUITE 6",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "917-816-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVE",
            "address_2": "SUITE 6",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "917-816-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPECTATIONS CLINICAL AND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "917-816-4948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Goncalves, LPC
• Diana Gonzalez
• Yolanda Gonzalez, LCSW
• Angeline Graff, LCSW
• Andreas Graham, LAC
• Jack Greiner
• Howard B Groder, MD
• Melissa Groman, LCSW
• Moshe A Groman
• Amy Groome

• Community/Behavioral Health Agency in Nutley, NJ
• Providers in Nutley, 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 Apr 5, 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.