Provider Demographics
NPI:1174853998
Name:FRANCISCARE COUNSELING
Entity Type:Organization
Organization Name:FRANCISCARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-791-1499
Mailing Address - Street 1:475 MARKET ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3126
Mailing Address - Country:US
Mailing Address - Phone:201-791-1499
Mailing Address - Fax:201-791-3529
Practice Address - Street 1:475 MARKET ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3126
Practice Address - Country:US
Practice Address - Phone:201-791-1499
Practice Address - Fax:201-791-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI01593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ056650Medicare UPIN