Active NPI
Andrea Bardowell
- Psychiatric Hospital
- Mount Holly, NJ
National Provider Identifier
1619419611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Practice address
- 770 Woodlane Road
Mount Holly, NJ 08060 - Phone
- (609) 267-5928
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
770 Woodlane Road
Mount Holly, NJ 08060
Mailing address
PO Box 574
Mount Laurel, NJ 08054-0574
Phone (609) 456-8306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1619419611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 574",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080540574",
"telephone_number": "609-456-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WOODLANE ROAD",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-267-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDOWELL",
"first_name": "ANDREA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.