TRI COUNTY PASSAIC TEEN CENTER – NPI #1972715142
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

TRI COUNTY PASSAIC TEEN CENTER is a residential treatment facility located in PASSAIC, NJ. NPPES has assigned the NPI number 1972715142 to TRI COUNTY PASSAIC TEEN CENTER on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. TRI COUNTY PASSAIC TEEN CENTER is also known by the name TRI-COUNTY YOUTH SERVICES. 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 18 years ago on Jul 10, 2008. 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 TRI COUNTY PASSAIC TEEN CENTER below.

NPI Profile for
TRI COUNTY PASSAIC TEEN CENTER

NPI Number
1972715142
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
TRI COUNTY PASSAIC TEEN CENTER
Other Name: TRI-COUNTY YOUTH SERVICES
Primary location
228 HOPE AVENUE
PASSAIC, NJ 07055
Phone: (973) 473-5755 Fax: (973) 470-8999
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RASHEED GILES
DIRCTOR
Phone: (973) 473-5755
Updated
Identifiers

Identifiers for TRI COUNTY PASSAIC TEEN CENTER

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
MEDICAIDNJ8373507
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.