NPIMap

Organization Active NPI

Centro Feed

Doing business as Centrod Feeds

  • Health Service Psychologist
  • Avenel, NJ
National Provider Identifier
1790306512
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
CENTRO FEED
Doing business as
Centrod Feeds
Practice address
114 Forest View Dr
Avenel, NJ 07001-2184
Phone
(848) 467-1409
NPI assigned
May 4, 2020
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Dr. Candrick C. Darkashade, PHD.NPI 1225553084
Title
President-Ceo
Phone
(848) 467-1409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X NU Primary

Addresses

Primary practice location

114 Forest View Dr
Avenel, NJ 07001-2184

Mailing address

114 Forest View Dr
Avenel, NJ 07001-2184
Phone (848) 467-1409

Other names 1

  • CENTROD FEEDS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.CENTROFEED.COM Health Information Exchange (HIE)

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1790306512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FOREST VIEW DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012184",
            "telephone_number": "848-467-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FOREST VIEW DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012184",
            "telephone_number": "848-467-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FEED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "DARKASHADE",
        "authorized_official_first_name": "CANDRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "848-467-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.CENTROFEED.COM",
            "affiliation": "N",
            "endpointDescription": "HEALTH CARE MANAGEMENT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 Forest View Dr",
            "city": "Avenel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070012184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CENTROD FEEDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.