Provider Demographics
NPI:1952191900
Name:KINYATTA, ABUL AL SHAKIR (CADC, CPRS)
Entity type:Individual
Prefix:
First Name:ABUL AL SHAKIR
Middle Name:
Last Name:KINYATTA
Suffix:
Gender:M
Credentials:CADC, CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 UNION AVE # 123
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3206
Mailing Address - Country:US
Mailing Address - Phone:973-980-6600
Mailing Address - Fax:
Practice Address - Street 1:38 UNION AVE # 123
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3206
Practice Address - Country:US
Practice Address - Phone:973-980-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)