PRINCETON CHILD DEVELOPMENT INSTITUTE (NPI# 1619408044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619408044 |
| Entity Type | Organization |
| Organization Name | PRINCETON CHILD DEVELOPMENT INSTITUTE |
| Other Organization Name | FAMILY FOCUS MOUNTAINVIEW |
| Practice Address |
55 Perry Dr Ewing NJ 08628-1710 |
| Mailing Address |
300 Cold Soil Rd Princeton NJ 08540-2002 |
| Practice Telephone | 6098837377 |
| Mailing Telephone | 6099246280 |
| Mailing Fax Number | 6099244119 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| 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 | GH309AU | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Family Focus Mountainview | 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 |
| 1598297624 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3918 Ravens Crest Dr, Plainsboro, NJ 08536-2419 | 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 |
| 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 |
55 PERRY DR |
| City | EWING |
| State | NJ |
| Zip Code | 08628-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| 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 |
|---|---|---|---|---|
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1255800520 | Dungarvin New Jersey, LLC - Whitehead II, Apt 209 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 209, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1982173258 | Dungarvin New Jersey, LLC - Whitehead II, Apt 217 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 217, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1568931939 | Dungarvin New Jersey, LLC - Whitehead II, Apt 109 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 109, Ewing, NJ 08638-2434 | 2018-11-15 |
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1649769365 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Federal City Rd, Ewing, NJ 08638-1323 | 2018-05-08 |
| 1710356803 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Windybush Way, Ewing, NJ 08560-1206 | 2015-09-18 |
| 1528437969 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1082 River Rd, Ewing, NJ 08628-2102 | 2015-09-16 |
| Find all providers in EWING | ||||
Please comment or provide details below to improve the information on PRINCETON CHILD DEVELOPMENT INSTITUTE.
| 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.