Organization Active NPI

DVH NP in Psychiatry Services NJ LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1104672617
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DVH NP IN PSYCHIATRY SERVICES NJ LLC
Practice address
111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724
Phone
(347) 573-9479
Fax
(347) 745-5913
NPI assigned
Apr 25, 2024
Organization subpart
Yes
Parent organization
DVH NP IN PSYCHIATRY SERVICES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dustin Von Holten, NPP-BC
Title
Founder
Phone
(347) 573-9479

Specialties & licenses 1

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

Addresses

Primary practice location

111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724

Mailing address

2093 Philadelphia Pike # 7683
Claymont, DE 19703-2424
Phone (347) 573-9479

National Provider Directory

National Provider Directory
Part of
DVH NP in Psychiatry Services PLLC

Locations

111 Town Square Pl
Ste 1201
Jersey City, NJ 07310
Phone (201) 293-8220

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1104672617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 7683",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424",
            "telephone_number": "347-573-9479",
            "fax_number": "347-745-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 1201",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101724",
            "telephone_number": "347-573-9479",
            "fax_number": "347-745-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVH NP IN PSYCHIATRY SERVICES NJ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DVH NP IN PSYCHIATRY SERVICES PLLC",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "VON HOLTEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "347-573-9479",
        "authorized_official_credential": "NPP-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 Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.