Sequel of New Jersey, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SEQUEL OF NEW JERSEY, INC.

Doing business as

Capital Academy

Practice address

1770 Mount Ephraim Ave
Camden, NJ 08104-1837

Phone

(609) 434-1001

NPI assigned

May 3, 2007

Organization subpart

Yes

Parent organization

SYFS HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Yvonne Rose Gurule, DO

Title

Contracts Manager

Phone

(505) 710-9210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capital Academy Doing business as

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.

• Sequel of New Jersey, Inc.

  dba Capital Academy

  • Psychiatric Residential Treatment Facility
  • Collingswood, NJ
  • NPI 1790196376
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1821210501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016491",
            "telephone_number": "256-880-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOUNT EPHRAIM AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041837",
            "telephone_number": "609-434-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL OF NEW JERSEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYFS HOLDINGS, LLC",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "505-710-9210",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124346",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Selman, MD
• Rebecca Sara Semanoff, CRNP
• Senior Care Centers of America, Inc. (Active Day of Camden)
• Rachel L Sensenig, MD
• Chelsea Juliette Septer, CRNP
• Haley Christen Sernandez, DO
• Neuza Serra, PSY.D
• Services to Overcome Drug Abuse Among Teenagers, Inc. (SODAT of NJ, Inc)
• Services to Overcome Drug Abuse Among Teenagers, Inc. (S.O.D.A.T. of New Jersey, Inc.)
• Rajendra P Setty, MD

• Psychiatric Residential Treatment Facility in Camden, NJ
• Providers in Camden, NJ by specialty
• Psychiatric Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.