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MY PSYCH PROVIDER LLC
NPI 1730954595
Nurse Practitioner - Psychiatric/Mental Health in Rockaway, NJ

Active since November 21, 2023
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866(973) 791-9365(973) 869-2449 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Psych Provider Llc NPPES

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

MY PSYCH PROVIDER LLC (NPI 1730954595) is a healthcare organization registered as a psychiatric/mental health in Rockaway, New Jersey and active in the NPI registry since November 2023. The organization lists Samuel Okechukwu, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1730954595
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMY PSYCH PROVIDER LLC
Location Address100 ENTERPRISE DR STE 301Rockaway, NJ 07866-2129
Mailing Address100 Enterprise Dr Ste 301Rockaway, NJ 07866-2129 · (973) 791-9365 · Fax (973) 869-2449
Phone(973) 791-9365
Fax(973) 869-2449
Organization SubpartNo
Authorized OfficialSamuel OkechukwuPsychiatric Nurse Practitioner · (973) 791-9365
Enumeration DateNovember 21, 2023
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1730954595 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
100 ENTERPRISE DR STE 301, Rockaway, NJ 07866
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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

Other Providers at the Same Location NPPES 20

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

SERENE MENTAL HEALTH SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (718) 568-8480
CATHERINE PAYNE-LEWIS BCBA
Behavior Analyst
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (772) 675-9100
BRITTANY FERRARA BCBA
Behavior Analyst
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (855) 832-6727
JAEL M NELSON
Occupational Therapy Assistant
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (845) 800-9305
PREMIER DIETITIANS LLC
Dietitian, Registered
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (862) 257-1297
JULIANA DE LOS SANTOS
Assistant Behavior Analyst
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (855) 832-6727
NP VISITS OF NEW JERSEY, LLC
Nurse Practitioner (Adult Health)
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (602) 703-2801
SHIRIN POURSHARIATI BCBA
Behavior Analyst
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866
Morris County (855) 832-6727

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 My Psych Provider LLC's NPI number?

The NPI number for My Psych Provider LLC is 1730954595. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is My Psych Provider LLC located?

My Psych Provider LLC is located at 100 Enterprise Dr Ste 301, Rockaway, NJ 07866. The listed phone number is (973) 791-9365.

What is My Psych Provider 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 My Psych Provider LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.