Princeton House

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL-0197 Issued in CO

Legal business name

PRINCETON HOUSE

Practice address

3884 W Princeton Cir
Denver, CO 80236-3111

Phone

(303) 761-1460

Fax

(303) 761-3619

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Teri J. Whelan

Title

Executive Director

Phone

(303) 595-4464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972712701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 17TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021202",
            "telephone_number": "303-595-4464",
            "fax_number": "303-595-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 W PRINCETON CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363111",
            "telephone_number": "303-761-1460",
            "fax_number": "303-761-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-595-4464"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CO",
            "license": "AL-0197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40030849",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Prince, NP
• Jolie Nichole Prince
• Lisa Karen Prince, M.D.
• Marissa Prince
• William Tyler Prince, MD
• Aldo Prins, PT
• Kaitlin Rice Prinsen, M.D
• Abby Prinz
• Cameron Prisjatschew, LSW
• Prism Medical Products, L.L.C.

• Assisted Living Facility (Mental Illness) in Denver, CO
• Providers in Denver, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.