BOYS & GIRLS CLUB OF NEWARK WELLNESS CENTER
NPI 1164006797
Clinic/Center - Mental Health (Including Community Mental Health Center) in Newark, NJ

Q: What is Boys & Girls Club Of Newark Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 10, 2021

1 AVON AVE, NEWARK, NJ 07108(973) 242-1200 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 13, 2021, May 10, 2021 (2 updates tracked since 2021).

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About Boys & Girls Club Of Newark Wellness Center NPPES

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

BOYS & GIRLS CLUB OF NEWARK WELLNESS CENTER (NPI 1164006797) is a healthcare organization registered as a mental health (including community mental health center) in Newark, New Jersey and active in the NPI registry since May 2021. The organization lists Gardan Speights, Director Of Community Wellness, as its authorized official.

NPPES Registry Identity

NPI1164006797

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBOYS & GIRLS CLUB OF NEWARK WELLNESS CENTER

Location Address1 AVON AVENewark, NJ 07108-2801

Mailing Address1 Avon AveNewark, NJ 07108-2801 · (973) 242-1200

Phone(973) 242-1200

Organization SubpartYesParent: Boys & Girls Club Of Newark

Authorized OfficialGardan SpeightsDirector Of Community Wellness · (646) 236-5695

Enumeration DateMay 10, 2021

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1164006797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1 AVON AVE, Newark, NJ 07108

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Other Providers at the Same Location NPPES 3

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

BOYS & GIRLS CLUBS OF NEWARK INC

Clinic/Center

1 AVON AVE
NEWARK, NJ 07108

Essex County (973) 242-1200

HANNAH BELLINGER

Social Worker (Clinical)

1 AVON AVE
NEWARK, NJ 07108

Essex County (973) 242-1200

KIMBERLY MARIE ALFONSO LSW

Social Worker (Clinical)

1 AVON AVE
NEWARK, NJ 07108

Essex County (973) 242-1200

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 Boys & Girls Club Of Newark Wellness Center's NPI number?

The NPI number for Boys & Girls Club Of Newark Wellness Center is 1164006797. It was assigned to this organization in the NPPES registry on May 10, 2021.

Where is Boys & Girls Club Of Newark Wellness Center located?

Boys & Girls Club Of Newark Wellness Center is located at 1 Avon Ave, Newark, NJ 07108. The listed phone number is (973) 242-1200.

What is Boys & Girls Club Of Newark Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Boys & Girls Club Of Newark Wellness Center was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.