Phenita Sammantha Mouzon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01281000 Issued in NJ

Practice address

777 Route 70 E Ste G101
Marlton, NJ 08053-2548

Phone

(856) 818-4020

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stress Care of New Jersey, LLC

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1033433834
  Medicare reassignment NPD
• West Bergen Mental Healthcare, Inc.

  • Clinic/Center
  • Ridgewood, NJ
  • NPI 1881755973
  Medicare reassignment
• Stress Care of New Jersey, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, NJ
  • NPI 1982345567
  NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003563636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WOODHAVEN RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532062",
            "telephone_number": "732-998-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 E STE G101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532548",
            "telephone_number": "856-818-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Woodhaven Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532062",
            "country_code": "US",
            "telephone_number": "732-998-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUZON",
        "first_name": "PHENITA",
        "middle_name": "SAMMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01281000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Morris
• Catherine D Morse, O.D.
• Karla E Morse, L.P.C., A.C.S.
• Richard Lee Moskowitz, O.D.
• Mary E Motus, DNP,APRN,FNP-BC
• Marsha Moyer Payne, CRNA
• MSB Healthcare LLC
• Mudra Consulting LLC
• Patrick Mulhall, M.D.
• Jeffrey A Mullen

• Psychiatric/Mental Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.