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GARDEN STATE PSYCHIATRIC SERVICES, LLC
NPI 1073135117
Clinic/Center in Woodbury, NJ

Active since May 12, 2020
190 N EVERGREEN AVE STE 202, WOODBURY, NJ 08096(856) 628-4504(856) 494-1549 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Garden State Psychiatric Services, Llc NPPES

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

GARDEN STATE PSYCHIATRIC SERVICES, LLC (NPI 1073135117) is a healthcare organization registered as a clinic/center in Woodbury, New Jersey and active in the NPI registry since May 2020. The organization lists Lisa Fulwiler, Administration Assistant, as its authorized official.

NPPES Registry Identity

NPI1073135117
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGARDEN STATE PSYCHIATRIC SERVICES, LLC
Location Address190 N EVERGREEN AVE STE 202Woodbury, NJ 08096-1862
Mailing Address190 N Evergreen Ave Ste 202Woodbury, NJ 08096-1862 · (856) 628-4504 · Fax (856) 494-1549
Phone(856) 628-4504
Fax(856) 494-1549
Organization SubpartNo
Authorized OfficialLisa FulwilerAdministration Assistant · (856) 628-4504
Enumeration DateMay 12, 2020
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1073135117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
190 N EVERGREEN AVE STE 202, Woodbury, NJ 08096
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Other Identifiers 1

Medicaid0722782NJ

Other Providers at the Same Location NPPES 2

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

HOLLYCHASE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
190 N EVERGREEN AVE STE 202
WOODBURY, NJ 08096
Gloucester County (856) 942-4414
MR. MATTHEW D. LAWRENCE-EVANS LCSW
Social Worker (Clinical)
190 N EVERGREEN AVE STE 202
WOODBURY, NJ 08096
Gloucester County (856) 942-4414

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 Garden State Psychiatric Services, LLC's NPI number?

The NPI number for Garden State Psychiatric Services, LLC is 1073135117. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Garden State Psychiatric Services, LLC located?

Garden State Psychiatric Services, LLC is located at 190 N Evergreen Ave Ste 202, Woodbury, NJ 08096. The listed phone number is (856) 628-4504.

What is Garden State Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Garden State Psychiatric Services, LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.