Organization Active NPI

Cool Mom & Dad

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trenton, NJ
National Provider Identifier
1699445429
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COOL MOM & DAD
Practice address
48 Maple Ave
Trenton, NJ 08618-3439
Phone
(609) 789-7357
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Juan Delacruz Jr.
Title
BT
Phone
(609) 789-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

48 Maple Ave
Trenton, NJ 08618-3439

Mailing address

48 Maple Ave
Trenton, NJ 08618-3439
Phone (609) 789-7357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1699445429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MAPLE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183439",
            "telephone_number": "609-789-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAPLE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183439",
            "telephone_number": "609-789-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL MOM & DAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "BT",
        "authorized_official_telephone_number": "609-789-7357",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.