Ophelia Solution Behavioral Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

OPHELIA SOLUTION BEHAVIORAL HEALTH LLC

Practice address

13 Patton Dr
Ewing, NJ 08618-2533

Phone

(267) 608-3044

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Ophelia Matthews

Title

Owner

Phone

(267) 608-3044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1083399299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 HIGH ST STE B567",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164592",
            "telephone_number": "267-608-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PATTON DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182533",
            "telephone_number": "267-608-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHELIA SOLUTION BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-608-3044"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.