Organization Active NPI

Inner Light Mental Health and Addiction Services L.L.C

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1124869797
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNER LIGHT MENTAL HEALTH AND ADDICTION SERVICES L.L.C
Practice address
1767 Morris Ave Ste 303B
Union, NJ 07083-3511
Phone
(973) 920-7328
Fax
(973) 435-6873
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ms. Vanessa Doobay, NPNPI 1689449548
Title
Pmhnp
Phone
(862) 218-2616

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

1767 Morris Ave Ste 303B
Union, NJ 07083-3511

Mailing address

1767 Morris Ave Ste 303B
Union, NJ 07083-3511
Phone (862) 218-2616

Other practice location 1

1010 N 500 E Rm 224
North Salt Lake, UT 84054-1947
Phone (385) 354-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117002263 NJ Part B Supplier - Clinic/Group Practice 6103317276 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1767 Morris Ave
Ste 303B
Union, NJ 07083
Phone (908) 488-6003

1010 N 500 E
Rm 224
North Salt Lake, UT 84054
Phone (385) 354-4242

Practitioners & affiliated clinicians

Practitioners 2

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1124869797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE STE 303B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833511",
            "telephone_number": "862-218-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE STE 303B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833511",
            "telephone_number": "973-920-7328",
            "fax_number": "973-435-6873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N 500 E Rm 224",
            "address_purpose": "LOCATION",
            "city": "North Salt Lake",
            "state": "UT",
            "postal_code": "840541947",
            "country_code": "US",
            "telephone_number": "385-354-4242",
            "fax_number": "973-435-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER LIGHT MENTAL HEALTH AND ADDICTION SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DOOBAY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "862-218-2616",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.