Boys & Girls Club of Newark Wellness Center
NPI 1164006797 · Mental Health Clinic/Center (Including Community Mental Health Center) · Newark, NJ
Boys & Girls Club of Newark Wellness Center is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Newark, NJ (NPI 1164006797).
Provider details
- NPI number
- 1164006797
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Boys & Girls Club of Newark
- Organization subpart
- Yes
- Authorized official
- Gardan Speights, Director of Community Wellness(646) 236-5695
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-10
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Frequently asked questions
- What is Boys & Girls Club of Newark Wellness Center's NPI number?
- Boys & Girls Club of Newark Wellness Center's National Provider Identifier (NPI) is 1164006797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boys & Girls Club of Newark Wellness Center?
- Boys & Girls Club of Newark Wellness Center is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Boys & Girls Club of Newark Wellness Center located?
- Boys & Girls Club of Newark Wellness Center's practice location on file with NPPES is 1 Avon Ave, Newark, NJ 07108-2801.
- What is Boys & Girls Club of Newark Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Boys & Girls Club of Newark Wellness Center is (973) 242-1200.
- Who is the authorized official for Boys & Girls Club of Newark Wellness Center?
- The authorized official listed on Boys & Girls Club of Newark Wellness Center's NPPES record is Gardan Speights, Director of Community Wellness. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boys & Girls Club of Newark Wellness Center's NPI active?
- Yes — Boys & Girls Club of Newark Wellness Center's NPI (1164006797) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.