NPIMap

Organization Active NPI

Excel

  • Psychiatric Residential Treatment Facility
  • Camden, NJ
National Provider Identifier
1417440769
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
EXCEL
Practice address
1000 Atlantic Ave Ste 302
Camden, NJ 08104-1132
Phone
(856) 541-9212
Fax
(856) 797-4830
NPI assigned
Jun 12, 2018
Organization subpart
Yes
Parent organization
EXCEL - CFGHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Jennifer Dowdell, LCSW
Title
Executive Director
Phone
(856) 541-9212

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Atlantic Ave Ste 302
Camden, NJ 08104-1132

Mailing address

1000 Atlantic Ave Ste 302
Camden, NJ 08104-1132
Phone (856) 541-9212

Other identifiers 1

IdentifierTypeStateIssuer
1083830483MedicaidNJ

Other names 1

  • CFG Residentials, LLC - Excel Other name

National Provider Directory

National Provider Directory
Tax ID family
Excel7 organizations share this tax ID, including this one
Part of
Excel

Other organizations with this tax ID 6

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

Locations

1000 Atlantic Ave
Ste 302
Camden, NJ 08104
Phone (856) 541-9212

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1417440769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE STE 302",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-541-9212",
            "fax_number": "856-797-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE STE 302",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-541-9212",
            "fax_number": "856-797-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCEL - CFGHS",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "DOWDELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-541-9212",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083830483",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFG Residentials, LLC - Excel",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CFG Residentials, LLC - Excel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.