Regroup With Princetta'S Behavioral Health Services,LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

REGROUP WITH PRINCETTA'S BEHAVIORAL HEALTH SERVICES,LLC

Practice address

Park Ave Ste 7
Plainfield, NJ 07060

Phone

(908) 755-3392

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Princetta A. Edwards, LCSWNPI 1215081385

Title

Psychotherapist/President/Ceo

Phone

(908) 755-3392

Specialties & licenses 1

Addresses

Other names 1

• Regroup Princetta's Behvaioral Health Services,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Princetta Ann Edwards, LCSW LIC CLINICAL SO

  • Clinical Social Worker
  • Plainfield, NJ
  • NPI 1215081385
  Medicare reassignment NPD Authorized official
• Muhammad A Mirza, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1881677409
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1013246966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070230512",
            "telephone_number": "908-755-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARK AVE STE 7",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-755-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGROUP WITH PRINCETTA'S BEHAVIORAL HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "PRINCETTA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-755-3392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regroup Princetta's Behvaioral Health Services,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Randall
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• James Kidangan Rappai, MD
• Jacqueline Frances Reccoppa
• Regroup Behavioral Health Services,PC
• Restore Ark Healthcare LLC
• Rha Health Services NJ LLC
• Crystal Robinson
• Isabel Rodriguez, LSW
• Genevieve Rothlisberger, LCSW

• Social Worker in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.