HOLISTIC PSYC PROVIDER NPI 1336936996

NPI Information

  • NPI: 1336936996
  • Provider Name: HOLISTIC PSYC PROVIDER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1521 GOSHEN LN
    SOMERSET, NJ
    ZIP 08873
  • Phone: (973) 737-8630

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NPI Details

HOLISTIC PSYC PROVIDER is a psychiatric/mental health nurse practitioner in Somerset, NJ. HOLISTIC PSYC PROVIDER NPI is 1336936996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1521 GOSHEN LN
SOMERSET, NJ
ZIP 08873-587
Phone: (973) 737-8630

The provider's authorized official is Kenechukwu Ezeanya .
The authorized official title is Owner/ceo and has the following contact phone number (973) 737-8630.

The enumeration date for this NPI number is 4/24/2025 and was last updated on 4/24/2025.

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
1363LP0808XNurse 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: 11/21/2025

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