My Psych Provider Llc

LBN: My Psych Provider Llc
My Psych Provider Llc is an health care organization with primary practice located at 100 Enterprise Dr Ste 301 , Rockaway NJ 07866-2129. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. My Psych Provider Llc can be contacted via phone (973) 791-9365, or through Okechukwu, Samuel via phone (973) 791-9365.

Contact Information

Primary practice address
100 Enterprise Dr Ste 301 Rockaway NJ 07866-2129
Phone: (973) 791-9365
Fax: (973) 869-2449
Website:
Map and Directions
Authorized official contact:
Name: Okechukwu, Samuel APN, PMHNP
Phone: (973) 791-9365

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1730954595
LBN Legal business name My Psych Provider Llc
DBA Doing business as
Authorized official Okechukwu, Samuel APN, PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 29th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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