| Adult Family Health Services Llc | |
|
53 Orchard St Clifton NJ 07013-1832 | |
| (973) 773-7600 | |
| (973) 773-7011 |
| Full Name | Adult Family Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 53 Orchard St, Clifton, New Jersey |
| Authorized Official Name and Position | Viktoriya Fine (CEO) |
| Authorized Official Contact | 9737737600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Family Health Services Llc 53 Orchard St Clifton NJ 07013-1832 Ph: (973) 773-7600 | Adult Family Health Services Llc 53 Orchard St Clifton NJ 07013-1832 Ph: (973) 773-7600 |
| NPI Number | 1669956298 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 12/24/2020 |
| Certification Date | 12/24/2020 |
| Medicare PECOS PAC ID | 3072918713 |
|---|---|
| Medicare Enrollment ID | O20210819000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669956298 | NPI | - | NPPES |
| 0652857 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ariel G Almacen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033257241 PECOS PAC ID: 8224193123 Enrollment ID: I20090210000050 |
| Provider Name | Stephen Daroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905652 PECOS PAC ID: 2062883929 Enrollment ID: I20230201000929 |
| Provider Name | Chrysa Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164065595 PECOS PAC ID: 0648614636 Enrollment ID: I20240217000745 |
| Provider Name | Julie Pamela Bravo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487238770 PECOS PAC ID: 0840733390 Enrollment ID: I20240625001654 |
| Provider Name | Mark A Bacco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396229639 PECOS PAC ID: 1456895580 Enrollment ID: I20240701001886 |
| Provider Name | Mark A Bacco |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396229639 PECOS PAC ID: 1456895580 Enrollment ID: I20240701002433 |
| Provider Name | Glorious Ali Shabazz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851922397 PECOS PAC ID: 1759829237 Enrollment ID: I20240815000241 |
| Provider Name | Kathleen E Mckenna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639498546 PECOS PAC ID: 4789118738 Enrollment ID: I20241113001590 |
| Provider Name | Robert A Wisse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437796075 PECOS PAC ID: 4587199039 Enrollment ID: I20241121001156 |
| Provider Name | Lara Eggerling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881295285 PECOS PAC ID: 5294260634 Enrollment ID: I20241122000759 |
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