Organization Active NPI

Life Strategies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hackensack, NJ
National Provider Identifier
1902068950
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
26NJ00080100 Issued in NJ
Legal business name
LIFE STRATEGIES
Practice address
83 Summit Ave
2ND FLR
Hackensack, NJ 07601-1262
Phone
(201) 224-5200
Fax
(201) 224-0599
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Vanessa Gourdine, APN C
Title
Clinical Director
Phone
(201) 224-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 26NJ00080100 NJ Primary

Addresses

Primary practice location

83 Summit Ave
2ND FLR
Hackensack, NJ 07601-1262

Mailing address

83 Summit Ave
2ND FLR
Hackensack, NJ 07601
Phone (201) 224-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1902068950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "address_2": "2ND FLR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-224-5200",
            "fax_number": "201-224-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "address_2": "2ND FLR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-224-5200",
            "fax_number": "201-224-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STRATEGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GOURDINE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-224-5200",
        "authorized_official_credential": "APN C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "26NJ00080100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.