Centerpath Wellness, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Plainfield, NJ
NPI 1962459552 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1962459552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 204050104 (NJ)
- Legal business name
- CENTERPATH WELLNESS, INC
- Practice address
- 117 Roosevelt Ave
Plainfield, NJ 07060-1331 - Phone
- (908) 756-6870
- Fax
- (908) 756-5566
- NPI assigned
- May 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Omar Soberal
- Title
- VP Revenue
- Phone
- (732) 955-8373
Practitioners 22
-
Olivia Gibson-Delaney, M.D.
-
Mary Teresa Desane, APN-BC
-
Rabica Shahid, MD
-
Michel Estiverne, APN
-
Kelly Alyce Houston, DNP, PMHNP-BC
-
Maria D Wiener, MSW,LCSW
-
Usman Ahmed, MD
-
Kristin Anna Giudice, LPC
-
Cecilia Rabess, A.P.N
-
Veronica Sauveur, LAC
-
Joseph Brian Daniel, LPC
-
Ann Elizabeth Darby, LCSW
-
Farida Ghadiali, M.D.
-
Asad Hussain, M.D.
-
Dinesh G Patel, M.D
-
Michael David Ring, MSW, LCSW, LCADC
-
Jessica Lyn Zucker, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090429000330 | NJ | Part B Supplier - Clinic/Group Practice | 0042368136 |
Receives reassigned benefits from 9 practitioners Practice locations: Plainfield, NJ |
National Provider Directory
Locations
117 Roosevelt Ave
Ste 119
Plainfield, NJ 07060
117 Roosevelt Ave
Plainfield, NJ 07060
Phone (908) 756-6870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 204050104 | NJ | Yes |
Addresses
Primary practice location
117 Roosevelt Ave
Plainfield, NJ 07060-1331
Mailing address
1215-1217 Main Street
Asbury Park, NJ 07712
Phone (732) 955-8373
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015105 | Medicaid | NJ | |
| 7640706 | Medicaid | NJ |
Other providers in Plainfield, NJ
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- Caremed Plus P.C.
- Tomiko N Cary
- Center for Family Support, New Jersey, Inc.
- Central Access Redevelopment Enterprise
- Central Jersey Arts Charter School
- Cerebral Palsy of North Jersey
- Cerebral Palsy of North Jersey
- Cerebral Palsy of North Jersey, Inc.
All providers in Plainfield, NJ · Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.