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DIVINE MENTAL HEALTHCARE SERVICES NPI 1659076123


NPI Information

NPI: 1659076123
Provider Name: DIVINE MENTAL HEALTHCARE SERVICES
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
940 STUYVESANT AVE FL 2
UNION, NJ
ZIP 07083
Phone: (973) 223-8417
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DIVINE MENTAL HEALTHCARE SERVICES is a psychiatric/mental health nurse practitioner in Union, NJ. DIVINE MENTAL HEALTHCARE SERVICES NPI is 1659076123. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

940 STUYVESANT AVE FL 2
UNION, NJ
ZIP 07083-995
Phone: (973) 223-8417
Fax: (908) 686-9445

The provider's authorized official is Chikaodi C Ibeku .
The authorized official title is Ceo and has the following contact phone number (973) 223-8417.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 4/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.