PROJECT YOUTH HAVEN (NPI# 1073641908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073641908 |
| Entity Type | Organization |
| Organization Name | PROJECT YOUTH HAVEN |
| Practice Address |
212 Slater St Paterson NJ 07501-2839 |
| Practice Telephone | 9738811611 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT VESOTA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9738810280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
212 SLATER ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07501-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128011 | Catholic Family and Community Services | Respite Care | 212 Slater St, Paterson, NJ 07501-2839 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255691 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 368 Broadway Ave, Paterson, NJ 07501 | 2017-10-02 |
| 1437588571 | Linda Gwyn Smith | Social Worker | 21 Market St., Sjrmc-fhc, Paterson, NJ 07501 | 2013-11-08 |
| 1639508187 | Maryanne Bolton | Nurse Practitioner | 393 Main Street, Paterson, NJ 07501 | 2013-11-05 |
| 1699058545 | Martha Quecan-garcia | Pharmacist | 639 East 18 Th St, Paterson, NJ 07501 | 2011-09-27 |
| 1093994071 | Catholic Family & Community Services | Clinic/Center | 163 Rosa Parks Blvd, Paterson, NJ 07501 | 2007-10-26 |
| 1326264086 | Agnieszka Beata Toth | Dentist | 21 Market Str, Paterson, NJ 07501 | 2007-04-18 |
| 1629124193 | Paterson Dental Group Pa | Dentist | 295 Broadway, Paterson, NJ 07501 | 2007-01-26 |
| 1740371053 | Ferhana Khan | Pediatrics | 227 Broadway, Paterson, NJ 07501 | 2006-09-28 |
| 1568567428 | Farmacias Del Pueblo LLC | Pharmacy | 992-994 Madison Ave, Paterson, NJ 07501 | 2006-09-14 |
| 1962511675 | Uli Rx Inc | Pharmacist | 382 Main Street, Paterson, NJ 07501 | 2006-08-29 |
| Find all providers in zip 07501 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851430607 | Youth Consultation Service Inc | Residential Treatment Facility, Emotionally Disturbed Children | 81 E 39th St, Paterson, NJ 07514-1105 | 2007-02-06 |
| 1023158573 | Youth Consultation Service Inc | Residential Treatment Facility, Emotionally Disturbed Children | 81 E 39th St, Paterson, NJ 07514-1105 | 2007-02-07 |
| 1790825255 | Youth Consultation Service Inc | Residential Treatment Facility, Emotionally Disturbed Children | 81 E 39th St, Paterson, NJ 07514-1105 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427519727 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 357 Route 94, Newton, NJ 07860-5136 | 2019-03-28 |
| 1649731290 | Willowglen Academy - New Jersey. Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 22 Route 519, Newton, NJ 07860-6230 | 2019-03-27 |
| 1639656705 | Devereux Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 124 Wertsville Rd, Hillsborough, NJ 08844-3908 | 2018-07-23 |
| 1164938049 | Saving Grace Ministries Inc | Residential Treatment Facility, Emotionally Disturbed Children | 436 Spruce St, Camden, NJ 08103-2032 | 2017-12-14 |
| 1790235539 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 8 Dugans Grv, Millstone Twp, NJ 08535-8014 | 2016-10-05 |
| 1619421104 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 201 Stillhouse Rd, Millstone Twp, NJ 08510-7967 | 2016-08-12 |
| 1396192886 | Ranch Hope Inc | Residential Treatment Facility, Emotionally Disturbed Children | 45 Sawmill Rd, Alloway, NJ 08001-1004 | 2016-05-16 |
| 1972972164 | National Mentor Healthcare, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 509 Mine Road, Bethlehem Township, NJ 08802 | 2015-09-18 |
| 1548641459 | Allies, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 46 Featherbed Ln, Flemington, NJ 08822-5638 | 2015-06-16 |
| 1760891055 | Therapeutic Alternatives | Residential Treatment Facility, Emotionally Disturbed Children | 20 Hadley Ln, Suite 100, Willingboro, NJ 08046-1701 | 2014-08-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.