Active NPI
Rehabilitative Adolescent Program, LLC
- Community/Behavioral Health Agency
- Hammonton, NJ
National Provider Identifier
1801920830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 37PC00308100
- Legal business name
- REHABILITATIVE ADOLESCENT PROGRAM, LLC
- Practice address
- 820 S White Horse Pike
Suite 2-B
Hammonton, NJ 08037-2009 - Phone
- (609) 704-5383
- Fax
- (609) 561-0678
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Prajakta S Harshe, LPC, LCADC, SAC
- Title
- Ceo
- Phone
- (609) 704-5383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 37PC00308100 | NJ | Primary |
Addresses
Primary practice location
820 S White Horse Pike
Suite 2-B
Hammonton, NJ 08037-2009
Mailing address
820 S White Horse Pike
Suite 2-B
Hammonton, NJ 08037-2009
Phone (609) 704-5384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035939 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Asapp Healthcare Inc and Amethyst Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Somers Point, NJ
- NPI 1154506160
Locations
820 S White Horse Pike
Ste 2B
Hammonton, NJ 08037
Phone (609) 704-5383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Hammonton, NJ
- NPI 1932123122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1801920830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S WHITE HORSE PIKE",
"address_2": "SUITE 2-B",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372009",
"telephone_number": "609-704-5384",
"fax_number": "609-561-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S WHITE HORSE PIKE",
"address_2": "SUITE 2-B",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372009",
"telephone_number": "609-704-5383",
"fax_number": "609-561-0678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATIVE ADOLESCENT PROGRAM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HARSHE",
"authorized_official_first_name": "PRAJAKTA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-704-5383",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, LCADC, SAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "37PC00308100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035939",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.