Organization Active NPI

American International Clinical Enterprise

  • Addiction (Substance Use Disorder) Psychologist
  • Newark, NJ
National Provider Identifier
1912424805
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
173-040 Issued in NJ
Legal business name
AMERICAN INTERNATIONAL CLINICAL ENTERPRISE
Doing business as
AMEICE INTERNATIONAL
Practice address
50 Norfolk St
Newark, NJ 07103-3228
Phone
(973) 623-3362
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Dr. Candrick C. Darkashade, PHDNPI 1225553084
Title
Clinical Psychologist
Phone
(848) 467-1409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X 173-040 NJ Primary
Community/Behavioral Health Agency 251S00000X 173-040 NJ
Adult Mental Health Clinic/Center 261QM0850X 173-040 NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X 173-040 NJ
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X 173-040 NJ
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 173-040 NJ

Addresses

Primary practice location

50 Norfolk St
Newark, NJ 07103-3228

Mailing address

610 Forest View Dr
Avenel, NJ 07001-2176
Phone (848) 467-1409

Other names 1

  • AMEICE INTERNATIONAL Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1912424805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FOREST VIEW DR",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070012176",
            "telephone_number": "848-467-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORFOLK ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033228",
            "telephone_number": "973-623-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INTERNATIONAL CLINICAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "DARKASHADE",
        "authorized_official_first_name": "CANDRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "848-467-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "173-040",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "173-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMEICE INTERNATIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.