MATTHEW D HAAR, PHD INC (NPI# 1598185340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598185340 |
| Entity Type | Organization |
| Organization Name | MATTHEW D HAAR, PHD INC |
| Other Organization Name | PRINCETON MIND/BODY CENTER |
| Practice Address |
166 Bunn Dr Suite 101 Princeton NJ 08540-2800 |
| Practice Telephone | 6099210755 |
| Practice Fax Number | 6099218355 |
| Mailing Telephone | 6099210755 |
| Mailing Fax Number | 6099218355 |
| Enumeration Date | 2014-04-20 |
| Last Update Date | 2014-04-20 |
| Authorized Official Name | DR. MATTHEW D HAAR (PRESIDENT) |
| Authorized Official Telephone | 6099210755 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
35SI00241200 | NJ | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
35SI00241200 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Princeton Mind/Body Center | Doing Business As Name - Organization |
| Street Address |
166 BUNN DR SUITE 101 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821018227 | Norbert A. Wetzel | Psychologist | 166 Bunn Dr, Suite # 105, Princeton, NJ 08540-2800 | 2006-07-20 |
| 1003370693 | Ellen Herr-israel | Psychologist | 166 Bunn Dr, Princeton, NJ 08540-2800 | 2019-01-28 |
| 1801325790 | Pamela Gail Feig | Social Worker | 166 Bunn Dr, Princeton, NJ 08540-2800 | 2017-06-05 |
| 1356587505 | Princeton Endocrinology Associates, LLC | Specialist | 166 Bunn Dr, Suite 109, Princeton, NJ 08540-2800 | 2008-12-17 |
| 1881864981 | Shalonda Kelly | Psychologist | 166 Bunn Dr, Suite 105, Princeton, NJ 08540-2800 | 2008-03-04 |
| 1174709406 | Hinda Winawer | Social Worker | 166 Bunn Dr, Suite 105, Princeton, NJ 08540-2800 | 2008-01-16 |
| 1871781138 | Joanne Dailey | Counselor | 166 Bunn Dr, Princeton, NJ 08540-2800 | 2007-10-11 |
| 1932304615 | Princeton Oral and Maxillofacial Surgery | Dentist | 166 Bunn Dr, Suite 103, Princeton, NJ 08540-2800 | 2007-06-20 |
| 1366655052 | James Malcolm Borthwick | Psychiatry & Neurology | 166 Bunn Dr, Princeton, NJ 08540-2800 | 2007-05-08 |
| 1417098575 | Glenda Mendelsohn | Social Worker | 166 Bunn Dr, Suite 105, Princeton, NJ 08540-2800 | 2007-02-10 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1184903049 | Suzanne Doubrava, Md | Clinic/Center | 20 Nassau St, Suite #504, Princeton, NJ 08542-4509 | 2011-08-10 |
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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.