Healthcare Provider Details

I. General information

NPI: 1487338414
Provider Name (Legal Business Name): THE PARENTING TRAINING NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MOUNT PROSPECT AVE APT 9F
NEWARK NJ
07104-2965
US

IV. Provider business mailing address

3495 US HIGHWAY 1 STE 34
PRINCETON NJ
08540-5933
US

V. Phone/Fax

Practice location:
  • Phone: 347-210-0823
  • Fax:
Mailing address:
  • Phone: 347-210-0823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA G SHIELDS
Title or Position: CEO
Credential: FDC CRC
Phone: 347-210-0823