Innovators In Mental Health

Specialty details in registry · East Orange, NJ

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At a glance

650 Park Ave Apt 201, East Orange, NJ 07017-1578

NPPES record updated Aug 7, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

650 Park Ave Apt 201
East Orange, NJ 07017-1578
Professional details: NPI, taxonomy & registry record
NPI1356121073
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Oct 2, 2023
Record updated
Aug 7, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

650 Park Ave Apt 201
East Orange, NJ 07017-1578
Phone
(862) 272-1580
Mailing address
650 PARK AVE APT 201

EAST ORANGE, NJ 070171578
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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