| Positive Reset Services | |
|
10 Mountain Blvd Ste C Warren NJ 07059-2639 | |
| (732) 742-0349 | |
| Not Available |
| Full Name | Positive Reset Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Mountain Blvd Ste C, Warren, New Jersey |
| Authorized Official Name and Position | Oksana Borodynkina (PRESIDENT) |
| Authorized Official Contact | 7327420349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Reset Services 84 Lone Star Ln Manalapan NJ 07726-3878 Ph: (732) 742-0349 | Positive Reset Services 10 Mountain Blvd Ste C Warren NJ 07059-2639 Ph: (732) 742-0349 |
| NPI Number | 1326875774 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 9638693195 |
|---|---|
| Medicare Enrollment ID | O20250407002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326875774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Toni J Russo Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023427325 PECOS PAC ID: 9638484280 Enrollment ID: I20150813009624 |
| Provider Name | Kolawole P Adeoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454533 PECOS PAC ID: 6608185657 Enrollment ID: I20151014002344 |
| Provider Name | Catherine Jakobsze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043853880 PECOS PAC ID: 3971014945 Enrollment ID: I20250617000791 |
| Provider Name | Viola Okoroanyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164248258 PECOS PAC ID: 0042715765 Enrollment ID: I20250924002362 |
| Provider Name | Tammy Nussbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902496532 PECOS PAC ID: 2264913300 Enrollment ID: I20260226000497 |
| Provider Name | Deirdre S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952717845 PECOS PAC ID: 7517252224 Enrollment ID: I20260617000487 |
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