Miracle Mental Health Care Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIRACLE MENTAL HEALTH CARE SERVICES LLC

Practice address

58 Arsdale Ter
East Orange, NJ 07018-2304

Phone

(973) 609-7069

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Alice Ironnah, MSNNPI 1720831480

Title

Authorized Official

Phone

(973) 609-7069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Alice Ironnah

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
  • NPI 1720831480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1184440216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ARSDALE TER",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182304",
            "telephone_number": "973-609-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ARSDALE TER",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182304",
            "telephone_number": "973-609-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MENTAL HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "IRONNAH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-609-7069",
        "authorized_official_credential": "MSN"
    },
    "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": []
}

• Malineda Mandy Millionard, MS, ABA
• Quandra Milton, LSW
• Mind and Ability
• Mind and Ability
• Mindspace Clinic
• Alvan E Mitchell, DMD
• Thomas P Mitchell
• Siuyin Mo, RPH
• Danielle Mobley
• Amni Mohamed

• Psychiatric/Mental Health Nurse Practitioner in East Orange, NJ
• Providers in East Orange, 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 Nov 22, 2024; 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.