Healthcare Provider Details

I. General information

NPI: 1629293824
Provider Name (Legal Business Name): KARINJA PSYCHOTHERAOY ASSOC., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 WESTFIELD AVE SUITE D
CLARK NJ
07066-2454
US

IV. Provider business mailing address

138 WESTFIELD AVE SUITE D
CLARK NJ
07066-2454
US

V. Phone/Fax

Practice location:
  • Phone: 732-389-5482
  • Fax: 732-758-0859
Mailing address:
  • Phone: 732-389-5482
  • Fax: 732-758-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number25MA02646900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License Number26NC06766100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number26NC06766100
License Number StateNJ

VIII. Authorized Official

Name: MARIE KARINJA
Title or Position: CEO
Credential: MSN,CNS,APRN,ND(C)
Phone: 732-389-5482