NPIMap

Organization Active NPI

Princeton Healthcare System, a New Jersey Non-Profit Corporation

Doing business as Penn Medicine Princeton House Behavioral Health

  • Psychiatric Hospital Unit
  • Princeton, NJ
National Provider Identifier
1518009588
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Doing business as
Penn Medicine Princeton House Behavioral Health
Practice address
905 Herrontown Rd
Princeton, NJ 08540-1901
Phone
(609) 497-3300
NPI assigned
Feb 13, 2007
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Mr. Guilherme Simoes Valladares
Title
Chief Financial Officer
Phone
(609) 853-7112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NJ Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X NJ

Addresses

Primary practice location

905 Herrontown Rd
Princeton, NJ 08540-1901

Mailing address

905 Herrontown Rd
Princeton, NJ 08540-1901
Phone (609) 497-3300

Other practice location 1

615 Hope Rd Bldg 1B
Eatontown, NJ 07724-1277
Phone (888) 437-1610

Other practice location 2

300 Clocktower Dr Ste 101
Hamilton, NJ 08690-3010
Phone (888) 437-1610

Other practice location 3

741 Mount Lucas Rd
Princeton, NJ 08540-1911
Phone (888) 437-1610

Other practice location 4

1000 Herrontown Rd
Princeton, NJ 08540-7716
Phone (888) 437-1610

Other practice location 5

351 New Albany Rd
Moorestown, NJ 08057-1117
Phone (888) 437-1610

Other practice location 6

1460 Livingston Ave Bldg 100
North Brunswick, NJ 08902-1873
Phone (888) 437-1610

Other identifiers 8

IdentifierTypeStateIssuer
4142306MedicaidNJ
4455360OtherNJAETNA CH
6427074OtherNJAETNA HERR
7350660OtherNJAETNA MTL
4606554OtherNJAETNA NOB
0013018OtherNJAETNA PH
310902OtherNJHORIZON MEDI PH
7383142OtherNJAETNA HAM

Other names 1

  • Penn Medicine Princeton House Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904001133 NJ Part A Provider - Hospital 4587562111 Practice locations: Princeton, NJ; Plainsboro, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518009588. Details of each certification follow.

Hospital certification: CCN 31S010

Legal name
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NONPROFIT CORPORATION
Doing business as
PENN MEDICINE PRINCETON HOUSE BEHAVIORAL HEALTH
Organization structure
CorporationNon-profit
Incorporated
Sep 26, 1919 in NJ
Enrollment address
1 Plainsboro Rd
Plainsboro, NJ 85361913
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Princeton House Behavioral Health10 organizations share this tax ID, including this one
Part of
Princeton House Behavioral Health

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2650 Route 130
Ste C
Cranbury, NJ 08512
Phone (609) 395-1500

300A Princeton Hightstown Rd
Ste 103
East Windsor, NJ 08520
Phone (609) 252-8751

304 Princeton Hightstown Rd
East Windsor, NJ 08520
Phone (609) 620-8503

540 Ridge Rd
Monmouth Junction, NJ 08852
Phone (609) 395-2470

2 Centre Dr
Ste 500
Monroe Township, NJ 08831
Phone (609) 655-4586

15 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-6500

5 Plainsboro Rd
Ste 290
Plainsboro, NJ 08536
Phone (609) 853-7500

281 Witherspoon St
Princeton, NJ 08540
Phone (609) 279-2194

731 Alexander Rd
Ste 103
Princeton, NJ 08540
Phone (609) 853-6800

300 Clocktower Dr
Ste 101
Trenton, NJ 08690
Phone (609) 688-2788

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julia Puchtler Individual Operational/Managerial ControlSVP and Cfo Jul 1, 2024
Tara Oakman Individual Corporate DirectorBoard Member Jun 10, 2024
Calvin Butts Individual Corporate DirectorBoard Member Mar 29, 2021
William Hyncik Individual Corporate DirectorBoard Member Jun 10, 2024
Elliot a Krauss Individual Corporate DirectorBoard Member Jun 10, 2024
Myron Gellman Individual Corporate DirectorChairman Mar 29, 2021
Michael J Mardy Individual Corporate DirectorTreasurer Mar 3, 2020
Trustees of the University of Pennsylvania Organization, Philadelphia, PA Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2018 100%
Kevin B Mahoney Individual Corporate DirectorBoard Member Jun 6, 2019
Anish a. Sheth Individual Corporate DirectorBoard Member Mar 25, 2025
Robert H Vonderheide Individual Corporate DirectorBoard Member Jul 26, 2021
Aline Holmes Individual Corporate DirectorBoard Member Jun 10, 2024
Donald Hofmann Individual Corporate DirectorEmeritus Chair Feb 27, 2006
Guilherme S Valladares Individual Corporate OfficerCfo May 1, 2014
Corporate DirectorAssistant Treasurer May 5, 2014
W-2 Managing Employee Oct 25, 2013
Philip Carchman Individual Corporate DirectorVice Chairman & Secretary Mar 3, 2020
Kim Pimley Individual Corporate DirectorEmeritus Chair Feb 22, 2010
James Demetriades Individual Corporate OfficerPresident and Ceo Mar 1, 2021
Corporate Director Mar 1, 2021
Thomas McCormick Individual Operational/Managerial ControlVP Patient Accounting Jan 1, 2018
Michael Rossi Individual W-2 Managing EmployeeDirector, Gvrnmt Reimbursement Jan 1, 2018
Princeton Healthcare System Holding Inc Organization, Plainsboro, NJ Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 27, 1997 100%
Operational/Managerial Control Jan 27, 1997 100%
Anna C Battat Individual Corporate DirectorBoard Member Mar 23, 2026
Lori Katz Individual Corporate DirectorBoard Member Mar 29, 2021
Rosemarie Costagliola Individual Corporate DirectorAssistant Secretary Apr 1, 2013

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1518009588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Hope Rd Bldg 1B",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241277",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "848-208-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Clocktower Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086903010",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "609-683-3291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Mount Lucas Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401911",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "609-497-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Herrontown Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085407716",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "609-497-2680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 New Albany Rd",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080571117",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "856-779-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Livingston Ave Bldg 100",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021873",
            "country_code": "US",
            "telephone_number": "888-437-1610",
            "fax_number": "732-435-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "GUILHERME",
        "authorized_official_middle_name": "SIMOES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "609-853-7112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4142306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CH",
            "identifier": "4455360",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HERR",
            "identifier": "6427074",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MTL",
            "identifier": "7350660",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NOB",
            "identifier": "4606554",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PH",
            "identifier": "0013018",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MEDI PH",
            "identifier": "310902",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HAM",
            "identifier": "7383142",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Penn Medicine Princeton House Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.