College Achieve Paterson Charter School

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COLLEGE ACHIEVE PATERSON CHARTER SCHOOL

Practice address

5 Colt St
Paterson, NJ 07505-1419

Phone

(862) 319-4200

NPI assigned

Mar 13, 2024

Last updated

Mar 13, 2024By 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

Mr. Kiakoma A Roberts

Title

Director of Special Services

Phone

(862) 319-4200

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1821856857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07501",
            "telephone_number": "862-257-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLT ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051419",
            "telephone_number": "862-319-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE ACHIEVE PATERSON CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KIAKOMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "862-319-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taleesa Cline-Moultrie
• Barbara M Cocovinis, M.D.
• Voile Ann Cohen, LSW: LICENSED SOCIAL
• Matthew Steven Colantoni, D.O.
• Colfax Oncology LLC
• Mario Charles Colletti, M.D.
• Karen Marie Collins, NP
• Comfort Dental Care, PA
• Community Care RX 1 LLC (Community Care RX)
• Community Health Group LLC

• Speech-Language Pathologist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.