Interdependence, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTERDEPENDENCE, LLC

Doing business as

Children's Bilingual Health Services

Practice address

295 Centre St
Nutley, NJ 07110-2703

Phone

(973) 980-5830

Fax

(973) 661-3101

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Casilda Dominguez

Title

Chief Executive Officer

Phone

(973) 980-5830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Children's Bilingual Health Services Doing business as

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1801034921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070400452",
            "telephone_number": "973-980-5830",
            "fax_number": "973-661-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CENTRE ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102703",
            "telephone_number": "973-980-5830",
            "fax_number": "973-661-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDEPENDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CASILDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-980-5830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161951",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Bilingual Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.