SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1598287096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598287096 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING DEVELOPMENT, INC. |
| Practice Address |
81 Rivervale Rd Apt 5-2b River Vale NJ 07675-6284 |
| Mailing Address |
210 Rivervale Rd River Vale NJ 07675-6281 |
| Practice Telephone | 2013588000 |
| Practice Fax Number | 2013588089 |
| Mailing Telephone | 2013588000 |
| Mailing Fax Number | 2013588089 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | WILLIAM G. MUILENBURG (CFO) |
| Authorized Official Telephone | 2013588000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | SA416 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0536521 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871015503 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 1, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1780106419 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 3, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1659893386 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 6, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1427570159 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 7, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1952823684 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 2, Closter, NJ 07624-1200 | 2017-07-14 |
| 1861914590 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 4, Closter, NJ 07624-1200 | 2017-07-14 |
| 1548782295 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 5, Closter, NJ 07624-1200 | 2017-07-14 |
| 1134641863 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 6, Closter, NJ 07624-1200 | 2017-07-14 |
| 1114449840 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 1-3a, River Vale, NJ 07675-6285 | 2017-07-14 |
| 1023530755 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 3-1b, River Vale, NJ 07675-6285 | 2017-07-14 |
| Street Address |
81 RIVERVALE RD APT 5-2B |
| City | RIVER VALE |
| State | NJ |
| Zip Code | 07675-6284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| Find all providers in zip 07675 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449840 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 1-3a, River Vale, NJ 07675-6285 | 2017-07-14 |
| 1023530755 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 3-1b, River Vale, NJ 07675-6285 | 2017-07-14 |
| 1932621661 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 3-3b, River Vale, NJ 07675-6285 | 2017-07-14 |
| 1679095301 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 4-1b, River Vale, NJ 07675-6286 | 2017-07-14 |
| 1942722673 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 4-2b, River Vale, NJ 07675-6286 | 2017-07-14 |
| 1689196313 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 5-3b, River Vale, NJ 07675-6284 | 2017-07-14 |
| 1093237828 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 1-2a, River Vale, NJ 07675-6285 | 2017-07-13 |
| 1013439702 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 2-1c, River Vale, NJ 07675-6285 | 2017-07-13 |
| 1366964033 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 3-2b, River Vale, NJ 07675-6285 | 2017-07-13 |
| 1649792326 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 4-3b, River Vale, NJ 07675-6286 | 2017-07-13 |
| Find all providers in RIVER VALE | ||||
| City | RIVER VALE |
| Zip Code | 07675 |
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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.