Psychtitude NP LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHTITUDE NP LLC

Practice address

349 Franklin CT
Ambler, PA 19002-1019

Phone

(708) 646-5769

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ifeoluwa A Ajuwon, NPNPI 1457937088

Title

Owner

Phone

(708) 646-5769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ifeoluwa Ajuwon

  • Psychiatric/Mental Health Nurse Practitioner
  • Ambler, PA
  • NPI 1457937088
  Medicare reassignment Care Compare group NPD Authorized official
• Sussett B Cain-Lewis

  • Psychiatric/Mental Health Nurse Practitioner
  • Willow Grove, PA
  • NPI 1003790197

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mia Morgan

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1346030707
  Medicare reassignment NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1063130748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 FRANKLIN CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021019",
            "telephone_number": "708-646-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FRANKLIN CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021019",
            "telephone_number": "708-646-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHTITUDE NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "AJUWON",
        "authorized_official_first_name": "IFEOLUWA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-646-5769",
        "authorized_official_credential": "NP"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Ambler, PA
• Providers in Ambler, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.