MISS ANDREA BARDOWELL (NPI# 1619419611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619419611 |
| Entity Type | Individual |
| Full Name | MISS ANDREA BARDOWELL |
| Practice Address |
770 Woodlane Road Mount Holly NJ 08060 |
| Mailing Address |
Po Box 574 Mount Laurel NJ 08054-0574 |
| Practice Telephone | 6092675928 |
| Mailing Telephone | 6094568306 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
770 WOODLANE ROAD |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604333 | Dennis Iheanacho | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2018-10-03 |
| 1073035010 | Levita Hough | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060-0806 | 2017-07-12 |
| 1831550235 | Jennifer Pedersen | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2016-03-11 |
| 1831560812 | Shatara Ciara Downing | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2015-10-15 |
| 1801288246 | Cheryl Cannon | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2015-02-23 |
| 1205225521 | Alicia Cardona | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2015-01-12 |
| 1528462942 | Dewey Bagley | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2014-10-14 |
| 1942619739 | Olalekan Giwa | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2014-08-06 |
| 1750797171 | Cecile Edwards | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2014-07-07 |
| 1013321538 | Katrina White | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1639546930 | Clear Conscience Counseling | Psychiatric Hospital | 214 Brennan Ct, South Plainfield, NJ 07080-3974 | 2015-08-21 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1770717100 | Manhattan Psy.ctr | Psychiatric Hospital | 346 Mercer Loop, Jersey City, NJ 07302-3235 | 2009-05-13 |
| 1891817433 | Princeton Medical Center | Psychiatric Hospital | 351 New Albany Rd, Moorestown, NJ 08057-1117 | 2007-04-04 |
| 1053470047 | Hudson Co Board of Chosen Freehold Admin | Psychiatric Hospital | 595 County Ave Bldg 10, Secaucus, NJ 07094-2605 | 2006-12-06 |
| 1851474647 | Ann Klein Forensic Center | Psychiatric Hospital | 1609 Stuyvesant Ave., Box 7717, West Trenton, NJ 08628 | 2006-10-23 |
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689682478 | U.S. Dept. of Veterans Affairs | Psychiatric Hospital | 155 Knollcroft Rd, Building 143,room Wii8, Lyons, NJ 07939-5001 | 2006-08-04 |
| 1457324196 | Uhs of Hampton Inc | Psychiatric Hospital | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2006-02-13 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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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.