RUTH ANN HOMER


Address: 10 Forrestal Rd S Ste 203, Princeton, NJ 08540-6666
Phone: 6097592750

RUTH ANN HOMER (NPI# 1477055812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477055812
Entity Type Individual
Full Name RUTH ANN HOMER
Practice Address 10 Forrestal Rd S Ste 203
Princeton
NJ 08540-6666
Mailing Address 80 Gateway Blvd Apt 209
Hillsborough
NJ 08844-4560
Practice Telephone 6097592750
Practice Fax Number 6099199700
Mailing Telephone 9089069449
Enumeration Date 2018-03-01
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
37LC00263700 NJ Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
44SC05650000 NJ Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
905 Herrontown Rd, Princeton, NJ 085401901 6094973363 6096883709

Office Location

Street Address 10 FORRESTAL RD S STE 203
City PRINCETON
State NJ
Zip Code 08540-6666

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1992369698 Suzanne Haggerty Social Worker 716 Executive Drive, Princeton, NJ 08540 2019-04-28
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1952928012 Alice Fadiora Counselor 261 Washington Rd, Princeton, NJ 08540-6407 2020-07-06
1801412028 Kaily Marie Moore Counselor 1507 Wilderness St, Princeton, TX 75407-0675 2020-06-23
1376180679 Pretgraf Counselor 103 Carnegie Ctr Ste 104, Princeton, NJ 08540-6235 2019-12-05
1215596440 Karla Carey Counselor 400 S 2nd St Ste 125, Princeton, MN 55371-1878 2019-06-11
1093275893 Siobhan Strickhart Counselor 213 Commons Way, Princeton, NJ 08540-1508 2019-03-20
1235614629 Erica Tate Counselor 500 Brant Dr, Princeton, LA 71067-9332 2018-10-01
1821500422 Jennifer Marshall Counselor 245 Nassau St Unit C, Princeton, NJ 08540-4600 2017-11-04
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Competitor

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City PRINCETON
Zip Code 08540

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Dataset Information

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.

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