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

NPI Status: Active since October 20, 2025

Contact Information

680 BROADWAY STE 1V2
PATERSON, NJ
ZIP 07514
Phone: (908) 258-8765

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  • Organization
  • Psychologist
  • Clinical
  • CLIA Number: 31D2209408
  • CLIA Cert. Type: Other - OPIATE TREATMENT PROGRAM
  • CLIA Exp. Date: 01-12-2027

About SUBURBAN HEALTH CLINIC OF PATERSON

This page provides the complete NPI Profile along with additional information for Suburban Health Clinic Of Paterson, a provider established in Paterson, New Jersey operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1407723034 assigned on October 2025. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brad R Skokowski Lcadc (Executive Director)

NPI
1407723034
Provider Name
SUBURBAN HEALTH CLINIC OF PATERSON
Entity Type
Organization
Location Address
680 BROADWAY STE 1V2 PATERSON, NJ 07514
Location Phone
(908) 258-8765
Mailing Address
680 BROADWAY STE 1V2 PATERSON, NJ 07514
Mailing Phone
(908) 258-8765
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2025
Last Update Date
10-20-2025
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A clinical psychologist like Suburban Health Clinic Of Paterson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRAD R SKOKOWSKI LCADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(856) 287-1952

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2209408
Facility Type
Other - OPIATE TREATMENT PROGRAM
Certificate Effective Date
January 13, 2025
Certificate Expiration Date
January 12, 2027
Laboratory Director
BRAD R. SKOKOWSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Suburban Health Clinic Of Paterson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407723034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 4 + 2 + 6 + 0 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1407723034.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407723034, enumerated as an "organization" on October 20, 2025.

The provider is located at 680 BROADWAY STE 1V2 PATERSON, NJ 07514 and the phone number is (908) 258-8765.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.