BONNIE BRAE – NPI #1912063702
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

BONNIE BRAE is a residential treatment facility located in LIBERTY CORNER, NJ. NPPES has assigned the NPI number 1912063702 to BONNIE BRAE on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BONNIE BRAE is also known by the name BONNIE BRAE RESIDENTIAL TREATMENT CENTER. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONNIE BRAE below.

NPI Profile for
BONNIE BRAE

NPI Number
1912063702
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BONNIE BRAE
Other Name: BONNIE BRAE RESIDENTIAL TREATMENT CENTER
Primary location
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Phone: (908) 647-0800 Fax: (908) 647-5021
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM POWERS
CEO
Phone: (908) 647-0800
Updated
Identifiers

Identifiers for BONNIE BRAE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ8372403
MEDICAIDNJ0032506
MEDICAIDNJ0073661
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 NJ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.