Active NPI
Life Strategies
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hackensack, NJ
National Provider Identifier
1902068950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 26NJ00080100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.