BONNIE BRAE
NPI 1780291542
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Liberty Corner, NJ

Active since September 25, 2020
3415 VALLEY ROAD, LIBERTY CORNER, NJ 07938(908) 647-0800(908) 647-5021 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonnie Brae NPPES

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

BONNIE BRAE (NPI 1780291542) is a healthcare organization registered as a substance abuse treatment, children in Liberty Corner, New Jersey and active in the NPI registry since September 2020. The organization lists Paul D. Rieger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780291542
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameBONNIE BRAE
Location Address3415 VALLEY ROADLiberty Corner, NJ 07938
Mailing AddressPo Box 825Liberty Corner, NJ 07938-0825 · (908) 647-0800 · Fax (908) 647-5021
Fax(908) 647-5021
Organization SubpartNo
Authorized OfficialPaul D. RiegerCeo · (908) 647-4719
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 23, 2020
NPI 1780291542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
3415 VALLEY ROAD, Liberty Corner, NJ 07938

Other Identifiers 9

Medicaid1831522523NJ
Medicaid1245689686NJ
Medicaid1912063702NJ
Medicaid1497152961NJ
Medicaid1003081605NJ
Medicaid1447885520NJ
Medicaid1235405689NJ
Medicaid1508220922NJ
Medicaid183448414NJ

Other Providers at the Same Location NPPES 6

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

Psychiatric Residential Treatment Facility
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Psychiatric Residential Treatment Facility
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY ROAD, BONNIE BRAE
LIBERTY CORNER, NJ 07938
Residential Treatment Facility, Emotionally Disturbed Children
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938

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 1780291542. It was assigned to this organization in the NPPES registry on September 25, 2020.

Where is Bonnie Brae located?

Bonnie Brae is located at 3415 Valley Road, Liberty Corner, NJ 07938. The listed phone number is (908) 647-0800.

What is Bonnie Brae's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Bonnie Brae was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.