NPIMap

Organization Active NPI

Princeton Child Development Institute

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ewing, NJ
National Provider Identifier
1619408044
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH309AU Issued in NJ
Legal business name
PRINCETON CHILD DEVELOPMENT INSTITUTE
Practice address
55 Perry Dr
Ewing, NJ 08628-1710
Phone
(609) 883-7377
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCETON CHILD DEVELOPMENT INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Patrick R Progar, PH.D., BCBA-D
Title
Executive Director
Phone
(609) 924-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH309AU NJ Primary

Addresses

Primary practice location

55 Perry Dr
Ewing, NJ 08628-1710

Mailing address

300 Cold Soil Rd
Princeton, NJ 08540-2002
Phone (609) 924-6280

Other names 1

  • Family Focus Mountainview Other name

National Provider Directory

National Provider Directory
Tax ID family
Princeton Child Development Institute10 organizations share this tax ID, including this one
Part of
Princeton Child Development Institute

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1619408044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLD SOIL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402002",
            "telephone_number": "609-924-6280",
            "fax_number": "609-924-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PERRY DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281710",
            "telephone_number": "609-883-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CHILD DEVELOPMENT INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCETON CHILD DEVELOPMENT INSTITUTE",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "PROGAR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-924-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH309AU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Focus Mountainview",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.