Organization Active NPI

New Convictions Recovery

  • Adult Mental Health Clinic/Center
  • Hawthorne, NJ
National Provider Identifier
1992398424
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEW CONVICTIONS RECOVERY
Practice address
121 Rea Avenue
Hawthorne, NJ 07506
Phone
(973) 963-4656
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Roland Achtau, LCSW, LCADCNPI 1861055808
Title
Owner
Phone
(973) 557-0154

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

121 Rea Avenue
Hawthorne, NJ 07506

Mailing address

18 Harmer Ter
Wayne, NJ 07470-2869
Phone (973) 557-0154

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1992398424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HARMER TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702869",
            "telephone_number": "973-557-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 REA AVENUE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "07506",
            "telephone_number": "973-963-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONVICTIONS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "ACHTAU",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-557-0154",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.