Organization Active NPI

Greater Trenton CMHC

Doing business as Adolescent Day Services

  • Community/Behavioral Health Agency
  • Trenton, NJ
National Provider Identifier
1972788685
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05345200 Issued in NJ
Legal business name
GREATER TRENTON CMHC
Doing business as
Adolescent Day Services
Practice address
1320 N Willow St
Trenton, NJ 08638-4526
Phone
(609) 396-0800
Fax
(609) 396-0881
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Miss Leichena M Bodie, MSW, LCSW
Title
Director
Phone
(609) 396-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05345200 NJ Primary

Addresses

Primary practice location

1320 N Willow St
Trenton, NJ 08638-4526

Mailing address

1320 N Willow St
Trenton, NJ 08638-4526
Phone (609) 396-0800

Other names 1

  • Adolescent Day Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Trenton Behavioral Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1320 N Willow St
Trenton, NJ 08638
Phone (609) 396-0800

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1972788685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N WILLOW ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384526",
            "telephone_number": "609-396-0800",
            "fax_number": "609-396-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N WILLOW ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384526",
            "telephone_number": "609-396-0800",
            "fax_number": "609-396-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER TRENTON CMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "BODIE",
        "authorized_official_first_name": "LEICHENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-396-0800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05345200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adolescent Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.