PSYCHTITUDE NP LLC
NPI 1063130748
Nurse Practitioner - Psychiatric/Mental Health in Ambler, PA

Active since August 18, 2022
349 FRANKLIN CT, AMBLER, PA 19002(708) 646-5769 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychtitude Np Llc NPPES

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

PSYCHTITUDE NP LLC (NPI 1063130748) is a healthcare organization registered as a psychiatric/mental health in Ambler, Pennsylvania and active in the NPI registry since August 2022. The organization lists Ifeoluwa A Ajuwon, Owner, as its authorized official.

NPPES Registry Identity

NPI1063130748
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHTITUDE NP LLC
Location Address349 FRANKLIN CTAmbler, PA 19002-1019
Mailing Address349 Franklin CtAmbler, PA 19002-1019 · (708) 646-5769
Organization SubpartNo
Authorized OfficialIfeoluwa A AjuwonOwner · (708) 646-5769
Enumeration DateAugust 18, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1063130748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
349 FRANKLIN CT, Ambler, PA 19002

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychtitude Np Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Psychtitude Np LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1457937088
349 FRANKLIN CT
Ambler, PA 19002
(708) 646-5769
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003790197
409 EASTON RD
Willow Grove, PA 19090
(267) 915-0261
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1346030707
1235 PINE ST
Philadelphia, PA 19107
(215) 735-9379
✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychtitude Np LLC's NPI number?

The NPI number for Psychtitude Np LLC is 1063130748. It was assigned to this organization in the NPPES registry on August 18, 2022.

Where is Psychtitude Np LLC located?

Psychtitude Np LLC is located at 349 Franklin Ct, Ambler, PA 19002. The listed phone number is (708) 646-5769.

What is Psychtitude Np LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Psychtitude Np LLC enrolled in Medicare?

Yes. Psychtitude Np LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychtitude Np LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Psychtitude Np LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychtitude Np LLC was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.