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SUBURBAN HEALTH CLINIC OF PATERSON
NPI 1407723034
Psychologist - Clinical in Paterson, NJ

Active since October 20, 2025CLIA Certified · 2 labs
680 BROADWAY STE 1V2, PATERSON, NJ 07514(908) 258-8765 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suburban Health Clinic Of Paterson NPPES

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

SUBURBAN HEALTH CLINIC OF PATERSON (NPI 1407723034) is a healthcare organization registered as a clinical in Paterson, New Jersey and active in the NPI registry since October 2025. The organization holds 2 active CLIA laboratory certificates and lists Brad R Skokowski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407723034
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUBURBAN HEALTH CLINIC OF PATERSON
Location Address680 BROADWAY STE 1V2Paterson, NJ 07514-1524
Mailing Address680 Broadway Ste 1v2Paterson, NJ 07514-1524 · (908) 258-8765
Phone(908) 258-8765
Organization SubpartNo
Authorized OfficialBrad R SkokowskiExecutive Director · (856) 287-1952
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1407723034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
680 BROADWAY STE 1V2, Paterson, NJ 07514
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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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2333777

Suburban Health Clinic Of Paterson · Paterson, NJ
Active · expires Nov 11, 2027
CLIA Number31D2333777
Laboratory TypeOtp Clinic
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorChristina Mascuch
Laboratory Phone(908) 258-8765
Laboratory LocationSuburban Health Clinic Of Paterson680 Broadway Suite 1v2, Paterson, NJ 07514
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2209408

Suburban Health Clinic · Union, NJ
Active · expires Jan 12, 2027
CLIA Number31D2209408
Laboratory TypeOpiate Treatment Program
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorBrad R. Skokowski
Laboratory Phone(908) 258-8765
Laboratory LocationSuburban Health Clinic43 Progress Street, Union, NJ 07083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Suburban Health Clinic Of Paterson's NPI number?

The NPI number for Suburban Health Clinic Of Paterson is 1407723034. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Suburban Health Clinic Of Paterson located?

Suburban Health Clinic Of Paterson is located at 680 Broadway Ste 1v2, Paterson, NJ 07514. The listed phone number is (908) 258-8765.

What is Suburban Health Clinic Of Paterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Does Suburban Health Clinic Of Paterson hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Suburban Health Clinic Of Paterson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.