PSYCHIATRY TO GO LLC NPI 1962760553

NPI Information

  • NPI: 1962760553
  • Provider Name: PSYCHIATRY TO GO, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 180 TUCKERTON RD
    SUITE 11
    MEDFORD, NJ
    ZIP 08055
  • Phone: (609) 536-9890

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NPI Details

PSYCHIATRY TO GO, LLC is a psychiatric/mental health nurse practitioner in Medford, NJ. PSYCHIATRY TO GO, LLC NPI is 1962760553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 TUCKERTON RD
SUITE 11
MEDFORD, NJ
ZIP 08055-802
Phone: (609) 536-9890
Fax: (609) 423-9060

The provider's authorized official is Michael B Miller .
The authorized official title is Ceo and has the following contact phone number (609) 536-9891.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 5/2/2012.

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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