Organization Active NPI

Sequel of New Jersey, Inc.

Doing business as Capital Academy

  • Psychiatric Residential Treatment Facility
  • Collingswood, NJ
National Provider Identifier
1790196376
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SEQUEL OF NEW JERSEY, INC.
Doing business as
Capital Academy
Practice address
1024-1026 Collings Avenue
Collingswood, NJ 08107-1811
Phone
(856) 240-7355
Fax
(856) 635-0292
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SEQUEL YOUTH AND FAMILY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Mr. Kenny R
Title
Vice President of Operations
Phone
(256) 880-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1024-1026 Collings Avenue
Collingswood, NJ 08107-1811

Mailing address

1024-1026 Collings Avenue
Collingswood, NJ 08107-1811
Phone (856) 240-7355

Other names 1

  • Capital Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1790196376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024-1026 COLLINGS AVENUE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071811",
            "telephone_number": "856-240-7355",
            "fax_number": "856-635-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024-1026 COLLINGS AVENUE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071811",
            "telephone_number": "856-240-7355",
            "fax_number": "856-635-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL OF NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUEL YOUTH AND FAMILY SERVICES, LLC",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.