ANCHORED ADOLESCENT & CHILD PSYCHIATRY LLC
NPI 1205682622
Nurse Practitioner - Psychiatric/Mental Health in Marmora, NJ

Q: What is Anchored Adolescent & Child Psychiatry LLC's specialty?

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

Active since April 26, 2024

510 S. SHORE RD (ROUTE 9), UNIT B, MARMORA, NJ 08223(610) 416-9802 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, May 8, 2024, May 3, 2024 and 1 more (4 updates tracked since 2024).

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About Anchored Adolescent & Child Psychiatry Llc NPPES

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

ANCHORED ADOLESCENT & CHILD PSYCHIATRY LLC (NPI 1205682622) is a healthcare organization registered as a psychiatric/mental health in Marmora, New Jersey and active in the NPI registry since April 2024. The organization lists Kiersten Ilaoa, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1205682622

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameANCHORED ADOLESCENT & CHILD PSYCHIATRY LLC

Location Address510 S. SHORE RD (ROUTE 9), UNIT BMarmora, NJ 08223

Mailing Address510 S. Shore Rd (route 9), Unit BMarmora, NJ 08223 · (609) 525-4947

Phone(610) 416-9802

Organization SubpartNo

Authorized OfficialKiersten IlaoaNurse Practitioner · (609) 525-4947

Enumeration DateApril 26, 2024

Last NPPES UpdateJanuary 2, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1205682622 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

510 S. SHORE RD (ROUTE 9), Marmora, NJ 08223

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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

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 Anchored Adolescent & Child Psychiatry LLC's NPI number?

The NPI number for Anchored Adolescent & Child Psychiatry LLC is 1205682622. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Anchored Adolescent & Child Psychiatry LLC located?

Anchored Adolescent & Child Psychiatry LLC is located at 510 S. Shore Rd (route 9) Unit B, Marmora, NJ 08223. The listed phone number is (610) 416-9802.

What is Anchored Adolescent & Child Psychiatry LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Anchored Adolescent & Child Psychiatry LLC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.