NPIMap

Organization Active NPI

Princeton Child Development Institute

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Plainsboro, NJ
National Provider Identifier
1043742166
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
SA1212 Issued in NJ
Legal business name
PRINCETON CHILD DEVELOPMENT INSTITUTE
Practice address
3902 Ravens Crest Dr
Plainsboro, NJ 08536-2418
Phone
(609) 924-6280
Fax
(609) 924-4119
NPI assigned
Mar 29, 2017
Organization subpart
Yes
Parent organization
PRINCETON CHILD DEVELOPMENT INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Patrick R Progar, PH.D., BCBA-D
Title
Executive Director
Phone
(609) 924-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA1212 NJ Primary

Addresses

Primary practice location

3902 Ravens Crest Dr
Plainsboro, NJ 08536-2418

Mailing address

300 Cold Soil Rd
Princeton, NJ 08540-2002
Phone (609) 924-6280

Other names 1

  • Supervised Apartment Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Princeton Child Development Institute10 organizations share this tax ID, including this one
Part of
Princeton Child Development Institute

Other organizations with this tax ID 9

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

Locations

300 Cold Soil Rd
Princeton, NJ 08540
Phone (609) 924-6280

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pcdi/r4/

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1043742166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLD SOIL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402002",
            "telephone_number": "609-924-6280",
            "fax_number": "609-924-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 RAVENS CREST DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362418",
            "telephone_number": "609-924-6280",
            "fax_number": "609-924-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CHILD DEVELOPMENT INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON CHILD DEVELOPMENT INSTITUTE",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PROGAR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-924-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "SA1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supervised Apartment Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.