Organization Active NPI

Caldwell University

  • Behavior Analyst
  • Caldwell, NJ
National Provider Identifier
1750820452
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CALDWELL UNIVERSITY
Doing business as
Caldwell University Center for Autism and Applied Behavior Analysis
Counseling Art Therapy Community Treatment Center
Practice address
120 Bloomfield Ave
Caldwell, NJ 07006-5310
Phone
(973) 618-3373
Fax
(973) 618-3943
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Sharon A ReeveNPI 1417277765
Title
Director
Phone
(973) 618-3373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

120 Bloomfield Ave
Caldwell, NJ 07006-5310

Mailing address

120 Bloomfield Ave
Caldwell, NJ 07006-5310
Phone (973) 618-3373

Other names 2

  • Caldwell University Center for Autism and Applied Behavior Analysis Doing business as
  • Counseling Art Therapy Community Treatment Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0886738Caldwell University120 Bloomfield Ave, Caldwell, NJ 07006Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Locations

120 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 618-3373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1750820452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065310",
            "telephone_number": "973-618-3373",
            "fax_number": "973-618-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065310",
            "telephone_number": "973-618-3373",
            "fax_number": "973-618-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "REEVE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-618-3373"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell University Center for Autism and Applied Behavior Analysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counseling Art Therapy Community Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.