NPIMap

Organization Active NPI

Peak Center for Autism LLC

  • Community/Behavioral Health Agency
  • Burlington, NJ
National Provider Identifier
1003290107
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-15-18265 Issued in CO
Legal business name
PEAK CENTER FOR AUTISM LLC
Practice address
1900 Burlington Mount Holly Rd Ste 6D
Burlington, NJ 08016-4727
Phone
(609) 614-7495
NPI assigned
Jul 17, 2015
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Tatiana N Peak, M.A., BCBANPI 1609250703
Title
Owner/Executive Director
Phone
(609) 614-7495

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1-15-18265 CO
Community/Behavioral Health Agency 251S00000X 1-15-18265 CO Primary
In Home Supportive Care Agency 253Z00000X 1-15-18265 CO

Addresses

Primary practice location

1900 Burlington Mount Holly Rd Ste 6D
Burlington, NJ 08016-4727

Mailing address

1900 Burlington Mount Holly Rd Ste 6D
Burlington, NJ 08016-4727
Phone (609) 614-7495

National Provider Directory

National Provider Directory

Locations

1900 Mount Holly Rd
Ste 6D
Burlington Township, NJ 08016
Phone (609) 614-7495

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1003290107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE 6D",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164727",
            "telephone_number": "609-614-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE 6D",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164727",
            "telephone_number": "609-614-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK CENTER FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "PEAK",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-614-7495",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "1-15-18265",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1-15-18265",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "1-15-18265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.