Provider Demographics
NPI:1982589859
Name:PRASADA CENTER FOR WELLBEING EAST
Entity type:Organization
Organization Name:PRASADA CENTER FOR WELLBEING EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA
Authorized Official - Phone:973-685-5668
Mailing Address - Street 1:1247 SUSSEX TPKE STE 210
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2943
Mailing Address - Country:US
Mailing Address - Phone:973-685-5668
Mailing Address - Fax:
Practice Address - Street 1:1247 SUSSEX TPKE STE 210
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2943
Practice Address - Country:US
Practice Address - Phone:973-685-5668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRASADA CENTER FOR WELLBEING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health