PRINCETON CHILD DEVELOPMENT INSTITUTE (NPI# 1598297624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598297624 |
| Entity Type | Organization |
| Organization Name | PRINCETON CHILD DEVELOPMENT INSTITUTE |
| Other Organization Name | SUPERVISED APARTMENT PROGRAM 3918 |
| Practice Address |
3918 Ravens Crest Dr Plainsboro NJ 08536-2419 |
| Mailing Address |
300 Cold Soil Rd Princeton NJ 08540-2002 |
| Practice Telephone | 6099246280 |
| Practice Fax Number | 6099244119 |
| Mailing Telephone | 6099246280 |
| Mailing Fax Number | 6099244119 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | DR. PATRICK R PROGAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6099246280 |
| Authorized Official Credential | PH.D., BCBA-D |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCETON CHILD DEVELOPMENT INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | SA1212 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Supervised Apartment Program 3918 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043742166 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3902 Ravens Crest Dr, Plainsboro, NJ 08536-2418 | 2017-03-29 |
| 1619409935 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Elm Ridge Rd, Princeton, NJ 08540-7405 | 2017-03-28 |
| 1619408044 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Perry Dr, Ewing, NJ 08628-1710 | 2017-03-27 |
| 1447781786 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5520 Ravens Crest Dr, Plainsboro, NJ 08536-2444 | 2017-03-27 |
| 1396047338 | Princeton Child Development Institute | Early Intervention Provider Agency | 300 Cold Soil Rd, Princeton, NJ 08540-2002 | 2010-11-24 |
| 1679810105 | Princeton Child Development Institute | Community/Behavioral Health | 300 Cold Soil Rd, Princeton, NJ 08540-2002 | 2013-01-03 |
| Street Address |
3918 RAVENS CREST DR |
| City | PLAINSBORO |
| State | NJ |
| Zip Code | 08536-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524768 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13101 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1629635867 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13104 Rue Terrace, Plainsboro, NJ 08536 | 2019-05-23 |
| 1720575178 | Life Clinic of Nj Dc Pa | Chiropractor | 7 Forrestal Road S, Plainsborough, NJ 08536 | 2018-04-20 |
| 1124527437 | Lee-yen Shu | Physical Therapist | 408 Plainsboro Road, Plainsboro, NJ 08536 | 2018-02-02 |
| 1295261543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-15 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1972039212 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24-11 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1669908901 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1831625177 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1659807998 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1205218971 | Bancroft Neurohealth | Clinic/Center | 666 Plainsboro Road Suite 2000c, Plainsboro, NJ 08536 | 2015-06-18 |
| Find all providers in zip 08536 | ||||
| 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 |
|---|---|---|---|---|
| 1316463920 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8905 Tamarron Dr, Plainsboro, NJ 08536-4327 | 2017-08-15 |
| 1053848754 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3413 Quail Ridge Dr, Plainsboro, NJ 08536-4124 | 2017-05-12 |
| 1487180683 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-13 Quali Ridge Dr, Plainsboro, NJ 08537 | 2017-05-08 |
| 1285160523 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3401 Quail Ridge Dr, Plainsboro, NJ 08536-4121 | 2017-05-05 |
| 1295261543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15-15 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1972039212 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24-11 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1669908901 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1831625177 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1659807998 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53-01 Quail Ridge Dr, Plainsboro, NJ 08536 | 2017-05-05 |
| 1043742166 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3902 Ravens Crest Dr, Plainsboro, NJ 08536-2418 | 2017-03-29 |
| Find all providers in PLAINSBORO | ||||
| City | PLAINSBORO |
| Zip Code | 08536 |
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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.