PRETGRAF (NPI# 1376180679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376180679 |
| Entity Type | Organization |
| Organization Name | PRETGRAF |
| Practice Address |
103 Carnegie Ctr Ste 104 Princeton NJ 08540-6235 |
| Mailing Address |
Po Box 1753 Voorhees NJ 08043-7753 |
| Practice Telephone | 7406752030 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | TRACEY DAVIS (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 7406752030 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRETGRAF |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 123456 | 01 |
| Other Name | Type Code |
|---|---|
| TalkPath Live | Doing Business As Name - Organization |
| Street Address |
103 CARNEGIE CTR STE 104 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746254 | April Music | Counselor | 214 Island Way, Princeton, TX 75407-5486 | 2020-10-04 |
| 1720694797 | Smita Chopra | Counselor | 932 State Rd, Princeton, Nj 08540, Princeton, NJ 08540-0854 | 2020-09-16 |
| 1952928012 | Alice Fadiora | Counselor | 261 Washington Rd, Princeton, NJ 08540-6407 | 2020-07-06 |
| 1801412028 | Kaily Marie Moore | Counselor | 1507 Wilderness St, Princeton, TX 75407-0675 | 2020-06-23 |
| 1215596440 | Karla Carey | Counselor | 400 S 2nd St Ste 125, Princeton, MN 55371-1878 | 2019-06-11 |
| 1093275893 | Siobhan Strickhart | Counselor | 213 Commons Way, Princeton, NJ 08540-1508 | 2019-03-20 |
| 1235614629 | Erica Tate | Counselor | 500 Brant Dr, Princeton, LA 71067-9332 | 2018-10-01 |
| 1821500422 | Jennifer Marshall | Counselor | 245 Nassau St Unit C, Princeton, NJ 08540-4600 | 2017-11-04 |
| 1376053009 | Julia Ann Gollas | Counselor | 103 Carnegie Ctr Ste 258, Princeton, NJ 08540-6235 | 2017-10-09 |
| 1427586817 | Barbara Bleicher Atwood | Counselor | 20 Nassau St Ste 412, Princeton, NJ 08542-4505 | 2017-05-30 |
| Find all providers in PRINCETON | ||||
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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.