Papoose Behavioral Health
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rutherford, New Jersey
1104512839- Practice location
- 105 Daniel Ave Unit 2, Rutherford, NJ 07070-2718
- Phone
- 718-775-8507
- Fax
- —
- Last updated
- April 14, 2023
Papoose Behavioral Health is a healthcare organization based in Rutherford, NJ. Papoose Behavioral Health practices in Rutherford, NJ. The NPI Number for Papoose Behavioral Health is 1104512839. The current practice location address for Papoose Behavioral Health is 105 Daniel Ave Unit 2, Rutherford, NJ 07070-2718 and can be reached out via phone at 718-775-8507.
Provider Profile Details
- NPI Number
- 1104512839
- Provider Name
- Papoose Behavioral Health
- Provider Entity Type
- Organization
- Address
- 105 Daniel Ave Unit 2, Rutherford, NJ 07070-2718
- Phone Number
- 718-775-8507
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Bolanle Olugbile, CEO · Ceo · 718-775-8507
- Provider Enumeration Date
- April 14, 2023
- Last Update Date
- April 14, 2023
- Certification Date
- April 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Daniel Ave Unit 2
Rutherford, NJ 07070-2718 - City
- Rutherford
- State
- New Jersey
- Zip
- 07070-2718
- Phone Number
- 718-775-8507
Provider Business Mailing Address Details
- Address
- 105 Daniel Ave Unit 2
Rutherford, NJ 07070-2718 - City
- Rutherford
- State
- NJ
- Zip
- 07070-2718
- Phone Number
- 718-775-8507
License Information
- Taxonomy (1)
- Psychologist, Intellectual & Developmental Disabilities · 103TM1800X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Papoose Behavioral Health?
The NPI number of Papoose Behavioral Health is 1104512839. It was assigned on April 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Papoose Behavioral Health?
Papoose Behavioral Health is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X).
Where does Papoose Behavioral Health practice?
The practice location is 105 Daniel Ave Unit 2, Rutherford, NJ 07070-2718. The office can be reached at 718-775-8507 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104512839 directly on the NPPES registry website.