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BONNIE BRAE
NPI 1003081605
Residential Treatment Facility, Emotionally Disturbed Children in Basking Ridge, NJ

Active since April 24, 2008CLIA 31D0925090 · Waiver
3415 VALLEY RD, BASKING RIDGE, NJ 07920(908) 647-0800(908) 647-5021 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Brae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNIE BRAE (NPI 1003081605) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Basking Ridge, New Jersey and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists William M. Powers, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003081605
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBONNIE BRAE
Location Address3415 VALLEY RDBasking Ridge, NJ 07920-2655
Mailing Address3415 Valley Road, Po Box 825Liberty Corner, NJ 07938-0825 · (908) 647-0800 · Fax (908) 647-5021
Phone(908) 647-0800
Fax(908) 647-5021
Organization SubpartYes
Authorized OfficialWilliam M. PowersCfo · (908) 647-0800
Enumeration DateApril 24, 2008
✔ NPI 1003081605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
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.
3415 VALLEY RD, Basking Ridge, NJ 07920
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Other Identifiers 1

Medicaid0073661NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0925090

Bonnie Brae · Liberty Corner, NJ
Active · expires Jan 29, 2027
CLIA Number31D0925090
Laboratory TypeOther
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorFrancisco Silva
Laboratory Phone(908) 647-0800
Laboratory LocationBonnie Brae3415 Valley Road PO Box 825, Liberty Corner, NJ 07938
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE BRAE
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY RD
BASKING RIDGE, NJ 07920
Somerset County (908) 647-4702
BONNIE BRAE
Community Based Residential Treatment Facility, Mental Illness
3415 VALLEY RD
BASKING RIDGE, NJ 07920
Somerset County (908) 542-2735
BONNIE BRAE
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY RD
BASKING RIDGE, NJ 07920
Somerset County (908) 542-2735
BONNIE BRAE
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY RD
BASKING RIDGE, NJ 07920
Somerset County (908) 647-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Brae's NPI number?

The NPI number for Bonnie Brae is 1003081605. It was assigned to this organization in the NPPES registry on April 24, 2008.

Where is Bonnie Brae located?

Bonnie Brae is located at 3415 Valley Rd, Basking Ridge, NJ 07920. The listed phone number is (908) 647-0800.

What is Bonnie Brae's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Bonnie Brae hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0925090) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bonnie Brae was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.