1013246966 NPI number — REGROUP WITH PRINCETTA'S BEHAVIORAL HEALTH SERVICES,LLC

Table of content: (NPI 1013246966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013246966 NPI number — REGROUP WITH PRINCETTA'S BEHAVIORAL HEALTH SERVICES,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGROUP WITH PRINCETTA'S BEHAVIORAL HEALTH SERVICES,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
REGROUP PRINCETTA'S BEHVAIORAL HEALTH SERVICES,LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013246966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 512
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FANWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07023-0512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-755-3392
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PARK AVE STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-755-3392
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
EDWARDS
Authorized Official First Name:
PRINCETTA
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PSYCHOTHERAPIST/PRESIDENT/CEO
Authorized Official Telephone Number:
908-755-3392

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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