BONNIE BRAE NPI 1508220922

NPI Information

  • NPI: 1508220922
  • Provider Name: BONNIE BRAE
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 31D0925090
  • Address: 3415 VALLEY ROAD
    LIBERTY CORNER, NJ
    ZIP 07938
  • Phone: (908) 647-0800

Map and Directions

Get Directions

NPI Details

BONNIE BRAE is a residential treatment facility emotionally disturbed children in Liberty Corner, NJ. The provider is 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. BONNIE BRAE NPI is 1508220922. The provider is registered as an organization entity type.

The provider's business location address is:

3415 VALLEY ROAD
LIBERTY CORNER, NJ
ZIP 07938-825
Phone: (908) 647-0800
Fax: (908) 647-5021

The provider's authorized official is William M. Powers .
The authorized official title is Chief Executive Officer and has the following contact phone number (908) 647-0800.

The CLIA number assigned to this NPI record is 31D0925090 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI