NPIMap

Organization Active NPI

Providence Place PCH

  • Psychiatric Residential Treatment Facility
  • Jersey City, NJ
National Provider Identifier
1184978397
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PROVIDENCE PLACE PCH
Practice address
75 Greenville Ave
Jersey City, NJ 07305-2607
Phone
(973) 639-6678
NPI assigned
Nov 9, 2012
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
John Westervelt
Title
Ceo
Phone
(973) 596-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

75 Greenville Ave
Jersey City, NJ 07305-2607

Mailing address

590 N 7TH St
Newark, NJ 07107-4553
Phone (973) 639-6678

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Arch of Newark12 organizations share this tax ID, including this one
Part of
Catholic Charities of the Arch of Newark

Other organizations with this tax ID 11

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

Locations

75 Greenville Ave
Jersey City, NJ 07305
Phone (201) 798-9957

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1184978397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N 7TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074553",
            "telephone_number": "973-639-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052607",
            "telephone_number": "973-639-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PLACE PCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES",
        "enumeration_date": "2012-11-09",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "WESTERVELT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-596-4052"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.