Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daterra Psychotherapy and Wellness, Inc

Organization Mental Health Counselor · NPI 1467964734

Daterra Psychotherapy and Wellness, Inc is a Mental Health Counselor in Newark, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2017.

Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

290 Ferry St Bsmt A2
Newark, NJ 07105-3475
Phone: (917) 459-2463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC00598200 (NJ)
Mental Health Counselor Taxonomy 101YM0800X · Licence 007828-1 (NY)

Record details

NPI number1467964734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susana Gaia — S-Corp Owner/Psychotherapist · (917) 622-3749
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017
Mailing address5808 Washington St Apt 305, West New York, NJ 07093-1583

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