Organization Active NPI

Professional Assistance Program of New Jersey

  • Community/Behavioral Health Agency
  • Princeton, NJ
National Provider Identifier
1780930164
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37AC00099400 Issued in NJ
Legal business name
PROFESSIONAL ASSISTANCE PROGRAM OF NEW JERSEY
Practice address
742 Alexander Rd
Princeton, NJ 08540-6327
Phone
(609) 919-1660
Fax
(609) 919-1611
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Ms. Tia Verzel Baxter, MA, LAC, NCC
Title
Psychotherapist
Phone
(609) 919-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37AC00099400 NJ Primary

Addresses

Primary practice location

742 Alexander Rd
Princeton, NJ 08540-6327

Mailing address

742 Alexander Rd
Princeton, NJ 08540-6327
Phone (609) 919-1660

National Provider Directory

National Provider Directory

Locations

742 Alexander Rd
Princeton, NJ 08540
Phone (609) 919-1660

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1780930164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406327",
            "telephone_number": "609-919-1660",
            "fax_number": "609-919-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406327",
            "telephone_number": "609-919-1660",
            "fax_number": "609-919-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSISTANCE PROGRAM OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "VERZEL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "609-919-1660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LAC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37AC00099400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.