EXTRACARE HEALTH SERVICES
NPI 1750435129
Psychologist - Addiction (Substance Use Disorder) in Matawan, NJ

Q: What is Extracare Health Services's NPI number?

The NPI number for Extracare Health Services is 1750435129. It was assigned to this organization in the NPPES registry on January 23, 2007.

Q: What is Extracare Health Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since January 23, 2007

141 STATE ROUTE 34, MATAWAN, NJ 07747(732) 721-3835(239) 455-9027 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Extracare Health Services NPPES

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

EXTRACARE HEALTH SERVICES (NPI 1750435129) is a healthcare organization registered as an addiction (substance use disorder) in Matawan, New Jersey and active in the NPI registry since January 2007. The organization lists John J Kelly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750435129

Entity TypeOrganization

Primary Taxonomy103TA0400X

Legal Business NameEXTRACARE HEALTH SERVICES

Location Address141 STATE ROUTE 34Matawan, NJ 07747-2187

Mailing Address141 State Route 34, P O Box 506Matawan, NJ 07747-2187 · (732) 721-3835 · Fax (239) 455-9027

Phone(732) 721-3835

Fax(239) 455-9027

Organization SubpartNo

Authorized OfficialJohn J KellyExecutive Director · (732) 721-0060

Enumeration DateJanuary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1750435129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in NJ · PSYD-2136

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

141 STATE ROUTE 34, Matawan, NJ 07747

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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

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 Extracare Health Services's NPI number?

The NPI number for Extracare Health Services is 1750435129. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Extracare Health Services located?

Extracare Health Services is located at 141 State Route 34, Matawan, NJ 07747. The listed phone number is (732) 721-3835.

What is Extracare Health Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Extracare Health Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.