BANCROFT NEUROHEALTH (NPI# 1720121106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121106 |
| Entity Type | Organization |
| Organization Name | BANCROFT NEUROHEALTH |
| Practice Address |
3900 Church Rd Mount Laurel NJ 08054 |
| Mailing Address |
1255 Caldwell Rd Cherry Hill NJ 08033 |
| Practice Telephone | 8007745516 |
| Mailing Telephone | 8563481137 |
| Mailing Fax Number | 8562161269 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | JENNIFER CRIPPS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8563481196 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NJ | Residential Treatment Facilities | |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 Kings Hwy N Ste 210, Cherry Hill, NJ 080341907 | 8007745516 | 8563758358 |
| 1433 Hooper Ave Ste 131, Toms River, NJ 087532238 | 8442348387 | 7328401478 |
| 1608 Route 88, Brick, NJ 087243009 | 8007745516 | 8563758358 |
| 666 Plainsboro Rd Ste 2000c, Plainsboro, NJ 085363048 | 8007745516 | 8563758358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329336 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Villinger Ave, Cinnaminson, NJ 08077-2934 | 2020-09-03 |
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1891325908 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 347 Walton Ave, Mount Laurel, NJ 08054-9579 | 2020-01-17 |
| 1891335139 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 993 Shadow Oaks Dr, Toms River, NJ 08753-3531 | 2020-01-15 |
| 1134762065 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Cedar Dr, Medford, NJ 08055-2322 | 2019-10-23 |
| 1932740883 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4104 Hamilton Dr, Voorhees, NJ 08043-3121 | 2019-10-02 |
| 1184187437 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3208 Avalon Ct, Voorhees, NJ 08043-4649 | 2019-04-12 |
| 1285194878 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1811 Kresson Rd, Cherry Hill, NJ 08003-2528 | 2019-03-21 |
| 1164998340 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Eugenia Dr, Medford, NJ 08055-2312 | 2018-10-16 |
| 1972080059 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hessian Way, Cherry Hill, NJ 08003-2615 | 2018-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANCROFT NEUROHEALTH, A NEW JERSEY NONPROFIT CORPORATION | 1255 Caldwell Rd, Cherry Hill, NJ 08034-3220 |
| Street Address |
3900 CHURCH RD |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780722769 | Claire Mcgrath | Clinical Neuropsychologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2007-02-02 |
| 1295336006 | Jeffrey Noonan | Counselor | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-11-06 |
| 1891396941 | Alicia Roselli | Music Therapist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-11-05 |
| 1881295962 | Alexander Daniel Chisar | Rehabilitation Counselor | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-11-04 |
| 1861003394 | Tiffany Channing | Psychologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-08-10 |
| 1306477732 | Christina Zebrowski | Psychologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2020-02-04 |
| 1891273983 | Amanda Apadula | Physical Therapist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-08-01 |
| 1609354943 | Amy Lake | Speech-Language Pathologist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-07-30 |
| 1578053252 | Jamie Young | Physical Therapist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-05-17 |
| 1750871588 | Katrina Dodson | Occupational Therapist | 3900 Church Rd, Mount Laurel, NJ 08054-1108 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652486 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 293 Route 206 Suite 10, Flanders, NJ 07836 | 2019-08-01 |
| 1386108850 | Remed Recovery Care Centers of New Jersey, LLC | Clinic/Center | 557 Cranbury Rd Ste 14, East Brunswick, NJ 08816-5419 | 2019-01-29 |
| 1629579412 | New Horizon Rehabilitation East LLC | Clinic/Center | 4581 Route 9, Howell, NJ 07731-3382 | 2018-02-27 |
| 1174046783 | Napa Center, Inc | Clinic/Center | 301 Garden St, Hoboken, NJ 07030-3873 | 2017-07-25 |
| 1396276390 | Dynamic Care and Rehabilitation Center LLC | Clinic/Center | 4581 Route 9 N, Ste 100, Howell, NJ 07731-3382 | 2017-03-22 |
| 1295281699 | Varsha Pohuja LLC | Clinic/Center | 365 Ocean Blvd Unit 302, Long Branch, NJ 07740-6097 | 2016-08-27 |
| 1477935146 | Bancroft Neurohealth | Clinic/Center | 1433 Hooper Ave Ste 131, Toms River, NJ 08753-2238 | 2015-06-18 |
| 1245623263 | Mane Stream, Inc. | Clinic/Center | 83 Old Turnpike Road, Oldwick, NJ 08858-0081 | 2015-03-16 |
| 1194136028 | Rehab Plus LLC | Clinic/Center | 1935 Lakewood Rd Ste 9, Toms River, NJ 08755-1211 | 2014-05-14 |
| 1528400181 | Community Adult Provider Services | Clinic/Center | 1140 Commerce Ave, Union, NJ 07083-5028 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.