Healthcare Provider Details

I. General information

NPI: 1639095680
Provider Name (Legal Business Name): JAAN ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2284 SOUTH AVE STE 2L
SCOTCH PLAINS NJ
07076-4646
US

IV. Provider business mailing address

2284 SOUTH AVE STE 2L
SCOTCH PLAINS NJ
07076-4646
US

V. Phone/Fax

Practice location:
  • Phone: 908-280-4302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL BICKOFF
Title or Position: OWNER
Credential: PSY.D.
Phone: 908-280-4302