IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY
NPI 1639957772
Psychiatry & Neurology - Psychiatry in Parlin, NJ

Active since September 19, 2023
1145 BORDENTOWN AVE, 3RD FLOOR ROOM 18, PARLIN, NJ 08859(862) 264-8062(862) 418-4933 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2025, May 13, 2025, Mar 5, 2024 (3 updates tracked since 2024).

About Ideal Psych Behavioral Health Limited Liability Company NPPES

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

IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY (NPI 1639957772) is a healthcare organization registered as a psychiatry in Parlin, New Jersey and active in the NPI registry since September 2023. The organization lists Emily Wanyoike, President, as its authorized official.

NPPES Registry Identity

NPI1639957772
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameIDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY
Location Address1145 BORDENTOWN AVE, 3RD FLOOR ROOM 18Parlin, NJ 08859-0885
Mailing Address23 Quincy CirDayton, NJ 08810-1331 · (862) 264-8062 · Fax (732) 553-2643
Fax(862) 418-4933
Organization SubpartNo
Authorized OfficialEmily WanyoikePresident · (862) 264-8062
Enumeration DateSeptember 19, 2023
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1639957772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1145 BORDENTOWN AVE, 3RD FLOOR ROOM 18, Parlin, NJ 08859

Other Names 1

Former Legal Business NameIdeal Psych Behavioral Health Limited Liability Company

Other Identifiers 1

Medicaid732163331NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ideal Psych Behavioral Health Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ideal Psych Behavioral Health Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1790375400
14 RIDGEDALE AVE STE 103
Cedar Knolls, NJ 07927
(862) 264-8062
✔ PECOS26 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 Ideal Psych Behavioral Health Limited Liability Company's NPI number?

The NPI number for Ideal Psych Behavioral Health Limited Liability Company is 1639957772. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Ideal Psych Behavioral Health Limited Liability Company located?

Ideal Psych Behavioral Health Limited Liability Company is located at 1145 Bordentown Ave, 3rd Floor Room 18, Parlin, NJ 08859. The listed phone number is (862) 264-8062.

What is Ideal Psych Behavioral Health Limited Liability Company's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ideal Psych Behavioral Health Limited Liability Company enrolled in Medicare?

Yes. Ideal Psych Behavioral Health Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ideal Psych Behavioral Health Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ideal Psych Behavioral Health Limited Liability Company. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ideal Psych Behavioral Health Limited Liability Company was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.