NPIMap

Organization Active NPI

St. Clares Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Boonton, NJ
National Provider Identifier
1497819866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
37LC00012200 Issued in NJ
Legal business name
ST. CLARES HOSPITAL
Practice address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone
(973) 316-1906
Fax
(973) 316-1827
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dianne Grace Devalve, LPC, LCADC
Title
Senior Clinician
Phone
(973) 316-1906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 37PC00001000 NJ
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 37LC00012200 NJ Primary

Addresses

Primary practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

19 Thrumont Rd
West Caldwell, NJ 07006-7719
Phone (973) 618-1468

National Provider Directory

National Provider Directory
Tax ID family
Saint Clares Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497819866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 THRUMONT RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067719",
            "telephone_number": "973-618-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-316-1906",
            "fax_number": "973-316-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVALVE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "SENIOR CLINICIAN",
        "authorized_official_telephone_number": "973-316-1906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NJ",
            "license": "37PC00001000",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NJ",
            "license": "37LC00012200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.