MIRACLE MENTAL HEALTH CARE SERVICES LLC
NPI 1184440216
Nurse Practitioner - Psychiatric/Mental Health in East Orange, NJ

Active since November 22, 2024
58 ARSDALE TER, EAST ORANGE, NJ 07018(973) 609-7069 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MIRACLE MENTAL HEALTH CARE SERVICES LLC

This page provides the complete NPI Profile along with additional information for Miracle Mental Health Care Services Llc, a provider established in East Orange, New Jersey operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1184440216 assigned on November 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Alice Ironnah Msn (Authorized Official)

NPI
1184440216 Verify this NPI
Provider Name
MIRACLE MENTAL HEALTH CARE SERVICES LLC
Entity Type
Organization
Location Address
58 ARSDALE TER EAST ORANGE, NJ 07018
Location Phone
(973) 609-7069
Mailing Address
58 ARSDALE TER EAST ORANGE, NJ 07018
Mailing Phone
(973) 609-7069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2024
Last Update Date
11-22-2024
Code Navigator

A nurse practitioner (NP) like Miracle Mental Health Care Services Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICE IRONNAH MSN

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(973) 609-7069

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
58 ARSDALE TER
EAST ORANGE, NJ 07018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184440216, enumerated as an "organization" on November 22, 2024.

The provider is located at 58 ARSDALE TER EAST ORANGE, NJ 07018 and the phone number is (973) 609-7069.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.