Inner Healing Psychiatric Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNER HEALING PSYCHIATRIC SERVICES, LLC

Practice address

405 Alloway St
Hainesport, NJ 08036-3708

Phone

(609) 850-4292

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Mahip Gupta, NURSE PRACTITIONERNPI 1366814022

Title

Pmhnp/Owner

Phone

(856) 470-7367

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahip Gupta

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1366814022
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1144073586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ALLOWAY ST",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080363708",
            "telephone_number": "609-850-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HEALING PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MAHIP",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "856-470-7367",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "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": []
}

• Hainesport Township School District
• Melissa Hansbury, LAC
• Alexis C Holmes
• Albert Edward Hrosik, MPT
• Paul David Hughes, PTA
• Victoria Interra, PSYD
• Mark Jaskowski, PT, DPT
• Skye Jilajian
• Johnson Vision Care, Inc.
• Scott Kandell, VMD

• Psychiatric/Mental Health Nurse Practitioner in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.