Organization Active NPI

Rhema Integrated Psychiatry

  • Psychiatry Physician
  • Wall, NJ
National Provider Identifier
1144033465
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RHEMA INTEGRATED PSYCHIATRY
Practice address
1540 Hwy 138 Ste 208
Wall, NJ 07719-3765
Phone
(857) 693-5631
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Guerline Dume-Lotin, PMHNPNPI 1841977659
Title
Authorized Official
Phone
(732) 567-5437

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1540 Hwy 138 Ste 208
Wall, NJ 07719-3765

Mailing address

1540 Hwy 138
Wall, NJ 07719-3763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250211002963 NJ Part B Supplier - Clinic/Group Practice 5890225429 Receives reassigned benefits from 1 practitioner
Practice locations: Wall, NJ

National Provider Directory

National Provider Directory

Locations

1540 State Route 138
Wall Township, NJ 07719
Phone (732) 280-8200

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": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1144033465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HWY 138",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HWY 138 STE 208",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193765",
            "telephone_number": "857-693-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA INTEGRATED PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "DUME-LOTIN",
        "authorized_official_first_name": "GUERLINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-567-5437",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.