Papoose Behavioral Health

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PAPOOSE BEHAVIORAL HEALTH

Practice address

105 Daniel Ave Unit 2
Rutherford, NJ 07070-2718

Phone

(718) 775-8507

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Bolanle Olugbile, CEONPI 1790471423

Title

Ceo

Phone

(718) 775-8507

Specialties & licenses 3

Addresses

Practitioners 1

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

• Bolanle Olugbile

  • Community/Behavioral Health Agency
  • Rutherford, NJ
  • NPI 1790471423
  NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1104512839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DANIEL AVE UNIT 2",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702718",
            "telephone_number": "718-775-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DANIEL AVE UNIT 2",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702718",
            "telephone_number": "718-775-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPOOSE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "OLUGBILE",
        "authorized_official_first_name": "BOLANLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-775-8507",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Orciuolo, D.D.S.
• Ronald Orinick
• Ece Ozer
• Valerie Pagan, CFOM ATP, CRTS
• Michel Paley, M.D.
• Paramount Services Group LLC
• Asita Parikh, PHARMACIST
• Jung-Eun Park
• Wooil Steven Park, D.D.S.
• Falguni Patel, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.