Organization Active NPI

Rehabilitative Adolescent Program, LLC

  • Community/Behavioral Health Agency
  • Hammonton, NJ
National Provider Identifier
1801920830
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00308100 Issued in NJ
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

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0035939MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Asapp Healthcare Inc and Amethyst Counseling2 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.

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.

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.

Verify at the official NPI Registry.