Active NPI
Inhealth PA
- Psychiatry Physician
- Lafayette, NJ
National Provider Identifier
1003955824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- INHEALTH PA
- Practice address
- 15 State Route 15
Lafayette, NJ 07848-2007 - Phone
- (973) 579-6700
- Fax
- (973) 579-6830
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- INHEALTH PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen Nielsen, APRN BC
- Title
- Practice Administrator
- Phone
- (973) 579-6700
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | |||
| Forensic Psychologist | 103TF0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | |||
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X |
Addresses
Primary practice location
15 State Route 15
Lafayette, NJ 07848-2007
Mailing address
15 State Route 15
Lafayette, NJ 07848-2007
Phone (973) 579-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003401 | Medicaid | NJ |
Other names 1
- InHealth Associates
National Provider Directory
National Provider Directory- Part of
- Winchester Gardens
Locations
15 State Route 15
Lafayette, NJ 07848
Phone (973) 579-6700
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- West Caldwell, NJ
- NPI 1689775942
-
- Neurology Physician
- Edison, NJ
- NPI 1811905268
-
- Psychiatric/Mental Health Nurse Practitioner
- Newton, NJ
- NPI 1285672915
-
- Pediatric Neurodevelopmental Disabilities Physician
- Lafayette, NJ
- NPI 1477637916
-
- Neurology Physician
- Livingston, NJ
- NPI 1841363520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1003955824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STATE ROUTE 15",
"city": "LAFAYETTE",
"state": "NJ",
"postal_code": "078482007",
"telephone_number": "973-579-6700",
"fax_number": "973-579-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 STATE ROUTE 15",
"city": "LAFAYETTE",
"state": "NJ",
"postal_code": "078482007",
"telephone_number": "973-579-6700",
"fax_number": "973-579-6830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INHEALTH PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INHEALTH PA",
"enumeration_date": "2007-02-06",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "973-579-6700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN BC"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0813X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "InHealth Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lafayette, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.