NPIMap

Organization Active NPI

Willowglen Academy - New Jersey. Inc.

  • Community/Behavioral Health Agency
  • Sussex, NJ
National Provider Identifier
1861989436
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILLOWGLEN ACADEMY - NEW JERSEY. INC.
Practice address
4 Center Street
Apt 36
Sussex, NJ 07461
Phone
(973) 579-3700
Fax
(973) 579-1786
NPI assigned
Apr 18, 2018
Last updated
Apr 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX CARE SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dione Grant
Title
Executive Director
Phone
(973) 579-3700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

4 Center Street
Apt 36
Sussex, NJ 07461

Mailing address

8 Wilson Drive
Sparta, NJ 07871
Phone (973) 579-3700

National Provider Directory

National Provider Directory
Tax ID family
Willowglen Academy - New Jersey Inc60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1861989436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSON DRIVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTER STREET",
            "address_2": "APT 36",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "07461",
            "telephone_number": "973-579-3700",
            "fax_number": "973-579-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGLEN ACADEMY - NEW JERSEY. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CARE SYSTEMS INC",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DIONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-579-3700"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.