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KELVIN LYNN BEATTY LCADC
NPI 1902477508
Counselor - Addiction (Substance Use Disorder) in Clifton, NJ

Active since July 05, 2021
777 BLOOMFIELD AVE, CLIFTON, NJ 07012(973) 594-0125 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelvin Lynn Beatty Lcadc NPPES

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

KELVIN LYNN BEATTY LCADC (NPI 1902477508) is an individual addiction (substance use disorder) provider in Clifton, New Jersey, licensed in New Jersey (37LC00328300) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1902477508
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELVIN LYNN BEATTYCredential: LCADC
Location Address777 BLOOMFIELD AVEClifton, NJ 07012-1242
Mailing Address291 Prospect AveWest Orange, NJ 07052-4205 · (973) 336-7323
Phone(973) 594-0125
Sole ProprietorNo
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1902477508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00328300
777 BLOOMFIELD AVE, Clifton, NJ 07012
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Other Providers at the Same Location NPPES 20

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

DR. SHANI STEIN M.D.
Psychiatry & Neurology (Psychiatry)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. YILDIZ MUEDIN RN BSN
Community Based Residential Treatment Facility, Mental Illness
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. NANCY CATHERINE O'BRIEN RN
Registered Nurse (Psychiatric/Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MS. RAQUEL JONES
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
BRIAN MONTEIRO
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
LUCERO SORIA
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. MARINA FOORD APN, PMHNP-BC
Psychiatry & Neurology (Psychiatry)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MISS SARAH FISHER
Social Worker (Clinical)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125

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 Kelvin Beatty's NPI number?

The NPI number for Kelvin Beatty is 1902477508. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Kelvin Beatty located?

Kelvin Beatty practices at 777 Bloomfield Ave, Clifton, NJ 07012. The listed phone number is (973) 594-0125.

What is Kelvin Beatty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelvin Beatty was last updated on July 5, 2021. 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.