Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKIE SOUL CATERING LLC
NPI 1124935200
Psychologist - Forensic in Irvington, NJ

Active since August 25, 2026
14 WALTER PL, IRVINGTON, NJ 07111(201) 247-0234 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackie Soul Catering Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE SOUL CATERING LLC (NPI 1124935200) is a healthcare organization registered as a forensic in Irvington, New Jersey and active in the NPI registry since August 2026. The organization lists Harquan Maurice Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1124935200
Entity TypeOrganization
Primary Taxonomy103TF0200X
Legal Business NameJACKIE SOUL CATERING LLC
Location Address14 WALTER PLIrvington, NJ 07111-2692
Mailing Address14 Walter PlIrvington, NJ 07111-2692 · (201) 247-0234
Organization SubpartNo
Authorized OfficialHarquan Maurice WilliamsOwner · (201) 247-0234
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
NPI 1124935200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
14 WALTER PL, Irvington, NJ 07111

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Pastoral)
14 WALTER PL
IRVINGTON, NJ 07111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Soul Catering LLC's NPI number?

The NPI number for Jackie Soul Catering LLC is 1124935200. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Jackie Soul Catering LLC located?

Jackie Soul Catering LLC is located at 14 Walter Pl, Irvington, NJ 07111. The listed phone number is (201) 247-0234.

What is Jackie Soul Catering LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Jackie Soul Catering LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.