WILLOWGLEN ACADEMY - NEW JERSEY. INC. (NPI# 1700349057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700349057 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY - NEW JERSEY. INC. |
| Practice Address |
164 Demarest Road Sparta NJ 07871 |
| Mailing Address |
8 Wilson Dr Sparta NJ 07871-3400 |
| Practice Telephone | 9735793700 |
| Practice Fax Number | 9735791786 |
| Mailing Telephone | 9735793700 |
| Mailing Fax Number | 9735791786 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | PATTY BATES (DIR OF FINANCE) |
| Authorized Official Telephone | 9735793700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1558852608 | Willowglen Academy - New Jersey. Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4 Center St Apt 33, Sussex, NJ 07461-2145 | 2018-05-24 |
| 1346625027 | Willowglen Academy - New Jersey. Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Holiday Lane, Montague, NJ 07827 | 2015-07-23 |
| 1730671686 | Willowglen Academy - New Jersey. Inc. | Psychiatry & Neurology | 8 Wilson Dr, Sparta, NJ 07871-3400 | 2018-06-05 |
| 1861989436 | Willowglen Academy - New Jersey. Inc. | Day Training, Developmentally Disabled Services | 4 Center Street, Apt 36, Sussex, NJ 07461 | 2018-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WILLOWGLEN ACADEMY - NEW JERSEY, INC. | 8 Wilson Drive, Sparta, NJ 07871 |
| Street Address |
164 DEMAREST ROAD |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690511 | Broadstep Academy-new Jersey, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 164 Demarest Road, Sparta, NJ 07871-3400 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690511 | Broadstep Academy-new Jersey, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 164 Demarest Road, Sparta, NJ 07871-3400 | 2009-01-28 |
| 1164684148 | Willowglen Academy-nj Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8 Wilson Dr, Sparta, NJ 07871-3400 | 2008-06-30 |
| 1598898603 | Willowglen Academy - Nj, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8 Wilson Dr., Sparta, NJ 07871-3491 | 2007-03-14 |
| 1336387240 | Willowglen Academy - Nj, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8 Wilson Dr, Sparta, NJ 07871-3400 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1639656705 | Devereux Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 124 Wertsville Rd, Hillsborough, NJ 08844-3908 | 2018-07-23 |
| 1164938049 | Saving Grace Ministries Inc | Residential Treatment Facility, Emotionally Disturbed Children | 436 Spruce St, Camden, NJ 08103-2032 | 2017-12-14 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| 1619421104 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Stillhouse Rd, Millstone Twp, NJ 08510-7967 | 2016-08-12 |
| 1396192886 | Ranch Hope Inc | Residential Treatment Facility, Emotionally Disturbed Children | 45 Sawmill Rd, Alloway, NJ 08001-1004 | 2016-05-16 |
| 1972972164 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 509 Mine Road, Bethlehem Township, NJ 08802 | 2015-09-18 |
| 1548641459 | Allies, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 46 Featherbed Ln, Flemington, NJ 08822-5638 | 2015-06-16 |
| 1760891055 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 20 Hadley Ln, Suite 100, Willingboro, NJ 08046-1701 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
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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.