| Penn Medicine Princeton House Behavioral Health | |
|
905 Herrontown Rd Princeton NJ 08540-1901 | |
| (609) 497-3300 | |
| Not Available |
| Full Name | Penn Medicine Princeton House Behavioral Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 905 Herrontown Rd, Princeton, New Jersey |
| Authorized Official Name and Position | Guilherme Simoes Valladares (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6098537112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Princeton House Behavioral Health 905 Herrontown Rd Princeton NJ 08540-1901 Ph: (609) 497-3300 | Penn Medicine Princeton House Behavioral Health 905 Herrontown Rd Princeton NJ 08540-1901 Ph: (609) 497-3300 |
| NPI Number | 1518009588 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Medicare PECOS PAC ID | 4587562111 |
|---|---|
| Medicare Enrollment ID | O20150904001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518009588 | NPI | - | NPPES |
| 4455360 | Other | NJ | AETNA CH |
| 4606554 | Other | NJ | AETNA NOB |
| 0013018 | Other | NJ | AETNA PH |
| 7383142 | Other | NJ | AETNA HAM |
| 310902 | Other | NJ | HORIZON MEDI PH |
| 6427074 | Other | NJ | AETNA HERR |
| 4142306 | Medicaid | NJ | |
| 7350660 | Other | NJ | AETNA MTL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (New Jersey) | Primary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | (New Jersey) | Secondary |
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