NPIMap

Organization Active NPI

Catholic Charities Diocese of Trenton

  • Mental Illness Community Based Residential Treatment Facility
  • Medford, NJ
National Provider Identifier
1003262106
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CATHOLIC CHARITIES DIOCESE OF TRENTON
Practice address
417 Tabernacle Rd
Medford, NJ 08055-2019
Phone
(609) 654-7871
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Valerie McKinnonNPI 1952757478
Title
House Manager
Phone
(609) 654-7871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

417 Tabernacle Rd
Medford, NJ 08055-2019

Mailing address

417 Tabernacle Rd
Medford, NJ 08055-2019

National Provider Directory

National Provider Directory
Tax ID family
New Choices50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1003262106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 TABERNACLE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 TABERNACLE RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552019",
            "telephone_number": "609-654-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DIOCESE OF TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "HOUSE MANAGER",
        "authorized_official_telephone_number": "609-654-7871",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.