Individual provider Active NPI

Catherine Bodnar, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Howell, NJ
National Provider Identifier
1194451419
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01362900 Issued in NJ
Practice address
2380 Route 9 Unit 12
Howell, NJ 07731-4018
Phone
(732) 786-3567
Fax
(732) 520-3320
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01362900 NJ Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR14334000 NJ

Addresses

Primary practice location

2380 Route 9 Unit 12
Howell, NJ 07731-4018

Mailing address

55 Bergerville Rd
Freehold, NJ 07728-8521
Phone (908) 220-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000231 NJ Practitioner - Nurse Practitioner 3779969209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Psychiatry NJ PCGroup PAC ID 2961865464, 17 clinicians

Practice addresses (Care Compare)

40 Bey Lea Rd
Toms River, NJ 08753-2900
Phone (732) 831-6094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14334000NJMDPsychiatric/Mental Health Registered Nurse
26NJ01362900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Memory and Behavioral Care CurrentSince Sep 26, 2022 Accepting new patients
Modern Psychiatry NJ PC CurrentSince Aug 7, 2023 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1194451419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BERGERVILLE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288521",
            "telephone_number": "908-220-3728",
            "fax_number": "732-520-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 ROUTE 9 UNIT 12",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314018",
            "telephone_number": "732-786-3567",
            "fax_number": "732-520-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "CATHERINE",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01362900",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR14334000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.