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

Khaleidoscope Health Care Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1336350909

Khaleidoscope Health Care Inc is an Addiction (Substance Use Disorder) Counselor in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
8
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

75 Harrison Ave
Jersey City, NJ 07304-0070
Phone: (201) 451-5425
Fax: (201) 451-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (NJ)
Clinical Social Worker Taxonomy 1041C0700X (NJ)
Nutrition Education Nutritionist Taxonomy 133NN1002X (NJ)
Registered Dietitian Taxonomy 133V00000X (NJ)
Psychiatry Physician Taxonomy 2084P0800X (NJ)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X (NJ)
Methadone Clinic Taxonomy 261QM2800X · Licence 22613 (NJ)

Record details

NPI number1336350909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Blake — Ceo · (201) 451-5425
Other names Parkside Medical Center
NPI enumeratedMay 25, 2007
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing addressP.O. Box 4070, 75 Harrison Avenue, Jersey City, NJ 07304-0070

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