CATHOLIC CHARITIES DIOCESE OF TRENTON (NPI# 1003262106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003262106 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES DIOCESE OF TRENTON |
| Practice Address |
417 Tabernacle Rd Medford NJ 08055-2019 |
| Practice Telephone | 6096547871 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | MISS VALERIE MCKINNON (HOUSE MANAGER) |
| Authorized Official Telephone | 6096547871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219901 | Catholic Charities Diocese of Trenton | Clinic/Center | 1239 Parkway Ave, Suites 100a, 100b, 102, Ewing, NJ 08628-0960 | 2019-08-02 |
| 1578073847 | Catholic Charities Diocese of Trenton | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-10-02 |
| 1306355748 | Catholic Charities Diocese of Trenton | Counselor | 832 Brunswick Ave, Trenton, NJ 08638-3847 | 2017-09-28 |
| 1427587922 | Catholic Charities Diocese of Trenton | Community/Behavioral Health | 950a S Chester Ave, Delran, NJ 08075-1234 | 2017-06-08 |
| 1306384516 | Catholic Charities Diocese of Trenton | Community/Behavioral Health | 10 Southard St, Trenton, NJ 08609-1020 | 2017-02-08 |
| 1588011514 | Catholic Charities Diocese of Trenton | Community Based Residential Treatment Facility, Mental Illness | 25 Ikea Dr, Westampton, NJ 08060-5115 | 2016-05-19 |
| 1699130633 | Catholic Charities Diocese of Trenton | Community/Behavioral Health | 88 Schoolhouse Rd, Whiting, NJ 08759-3051 | 2015-12-17 |
| 1912385352 | Catholic Charities Diocese of Trenton | Community/Behavioral Health | 39 N Clinton Ave, Trenton, NJ 08609-1011 | 2015-05-18 |
| 1538505490 | Catholic Charities Diocese of Trenton | Community/Behavioral Health | 833 Cass St, Trenton, NJ 08611-2405 | 2013-05-20 |
| Street Address |
417 TABERNACLE RD |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528414042 | David Mcnamera | Counselor | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-13 |
| 1952757478 | Valerie Mckinnon | Counselor | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-13 |
| 1467808071 | Tracey Taliaferro | Counselor | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-12 |
| 1174979793 | Theresa Brown | Counselor | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-12 |
| 1184070708 | Martina Nash | Counselor | 417 Tabernacle Rd, Medford, NJ 08055-2019 | 2016-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218553 | Columbiacare Serices | Community Based Residential Treatment Facility, Mental Illness | 1998 Sky Park Dr Ste 102, Medford, OR 97504-5395 | 2016-07-01 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1134270341 | Laurel Hill Inn, Ltd | Community Based Residential Treatment Facility, Mental Illness | 121 Mystic St, Medford, MA 02155-3463 | 2007-01-15 |
| 1861918278 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2016 Terrel Dr, Medford, OR 97501-8154 | 2017-08-17 |
| 1548511694 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2012-09-28 |
| 1508126368 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-25 |
| 1104186014 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504-4004 | 2012-05-24 |
| 1780988253 | Jackson County Mental Health | Community Based Residential Treatment Facility, Mental Illness | 1911 Hazel Ave, Medford, OR 97501-1630 | 2010-12-27 |
| 1649466475 | Columbiacare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 3587 Heathrow Way, Medford, OR 97504 | 2007-09-14 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.