ST. PETER'S ORPHANAGE, INC. (NPI# 1700942547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700942547 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S ORPHANAGE, INC. |
| Other Organization Name | ST. PETER'S VILLAGE |
| Practice Address |
170 Diamond Spring Rd Denville NJ 07834-2910 |
| Practice Telephone | 9736270212 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHELE SQUEO (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9736270212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1620 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8385106 | 05 |
| Other Name | Type Code |
|---|---|
| St. Peter's Village | Other Name - Individual/Organization |
| Street Address |
170 DIAMOND SPRING RD |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366009474 | Tara Pruden | Counselor | 170 Diamond Spring Rd, Denville, NJ 07834-2910 | 2019-05-23 |
| 1619380219 | Kelly Mcnamara | Social Worker | 170 Diamond Spring Rd, Denville, NJ 07834-2910 | 2014-06-11 |
| 1093128134 | Tram Luu | Social Worker | 170 Diamond Spring Rd, Denville, NJ 07834-2910 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| 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 |
|---|---|---|---|---|
| 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.