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DATERRA PSYCHOTHERAPY AND WELLNESS, INC.
NPI 1467964734
Counselor - Professional in Newark, NJ

Active since October 26, 2017
290 FERRY ST BSMT A2, NEWARK, NJ 07105(917) 459-2463 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daterra Psychotherapy And Wellness, Inc. NPPES

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

DATERRA PSYCHOTHERAPY AND WELLNESS, INC. (NPI 1467964734) is a healthcare organization registered as a professional in Newark, New Jersey and active in the NPI registry since October 2017. The organization lists Susana P Gaia, S-corp Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1467964734
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameDATERRA PSYCHOTHERAPY AND WELLNESS, INC.
Location Address290 FERRY ST BSMT A2Newark, NJ 07105-3475
Mailing Address5808 Washington St Apt 305West New York, NJ 07093-1583 · (917) 622-3749
Phone(917) 459-2463
Organization SubpartNo
Authorized OfficialSusana P GaiaS-corp Owner/psychotherapist · (917) 622-3749
Enumeration DateOctober 26, 2017
✔ NPI 1467964734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00598200
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 007828-1 (NY)
290 FERRY ST BSMT A2, Newark, NJ 07105
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MS. SUSANA P. GAIA MA, LMHC, LPC
Counselor (Mental Health)
290 FERRY ST BSMT A2
NEWARK, NJ 07105
Essex County (917) 459-2463

Frequently Asked Questions

What is DATERRA PSYCHOTHERAPY AND WELLNESS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1467964734, enumerated as an "organization" on October 26, 2017.

Where is the provider located?

The provider is located at 290 FERRY ST BSMT A2 NEWARK, NJ 07105 and the phone number is (917) 459-2463.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.