# HUMAN HEALTH OF NEW JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174297220
- **Authorized official:** CARRIE KOCEN (CREDENTIALING)
- **Authorized official phone:** (415) 851-0195

## Contact information

- **Practice address:** 9750 INNOVATION CAMPUS WAY, NEW ALBANY, OH 43054
- **Practice address phone:** (415) 851-0195
- **Mailing address:** 2269 CHESTNUT ST \# 523, SAN FRANCISCO, CA 94123-2600
- **Mailing address phone:** (415) 851-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 05/12/2022