Organization Active NPI

Samala Integrative Psych LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1013844414
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAMALA INTEGRATIVE PSYCH LLC
Practice address
15-01 Broadway Ste 6
Fair Lawn, NJ 07410-6006
Phone
(201) 822-1043
NPI assigned
May 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Delmon James Infante Samala, DNP, APN, PMHNP-BCNPI 1326871286
Title
Owner
Phone
(201) 822-1043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15-01 Broadway Ste 6
Fair Lawn, NJ 07410-6006

Mailing address

15-01 Broadway Ste 6
Fair Lawn, NJ 07410-6006

National Provider Directory

National Provider Directory

Locations

15-01 Broadway
Ste 6
Fair Lawn, NJ 07410
Phone (201) 342-4004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1013844414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 6",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 6",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006",
            "telephone_number": "201-822-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMALA INTEGRATIVE PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "DELMON JAMES",
        "authorized_official_middle_name": "INFANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-822-1043",
        "authorized_official_credential": "DNP, APN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.