PROVIDENCE PLACE PCH
NPI 1184978397
Psychiatric Residential Treatment Facility in Jersey City, NJ
- Organization
- Psychiatric Residential Treatment Facili...
About PROVIDENCE PLACE PCH
This page provides the complete NPI Profile along with additional information for Providence Place Pch, a provider established in Jersey City, New Jersey operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1184978397 assigned on November 2012. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is John Westervelt (Ceo)
- NPI
- 1184978397 Verify this NPI
- Provider Name
- PROVIDENCE PLACE PCH
- Entity Type
- Organization
- Location Address
- 75 GREENVILLE AVE JERSEY CITY, NJ 07305
- Location Phone
- (973) 639-6678
- Mailing Address
- 590 N 7TH ST NEWARK, NJ 07107
- Mailing Phone
- (973) 639-6678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-09-2012
- Last Update Date
- 01-21-2026
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
JERSEY CITY, NJ 07305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184978397, enumerated as an "organization" on November 09, 2012.
The provider is located at 75 GREENVILLE AVE JERSEY CITY, NJ 07305 and the phone number is (973) 639-6678.
Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
