Garden State Psychiatric Associates LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GARDEN STATE PSYCHIATRIC ASSOCIATES LLC

Doing business as

Garden State Psych

Practice address

509 Main St Ste B
Toms River, NJ 08753-7402

Phone

(732) 301-6904

Fax

(563) 276-2001

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Grant Myers, APN, PMNHP-BCNPI 1003158502

Title

Exective Member

Phone

(732) 301-6904

Specialties & licenses 1

Addresses

Other names 1

• Garden State Psych Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Marshall Myers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1003158502
  Medicare reassignment Authorized official
• Cavene Facey, PMHNP-BC

  • Psychiatry Physician
  • Manahawkin, NJ
  • NPI 1568354132

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1205609872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MAIN ST STE B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537402",
            "telephone_number": "732-301-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MAIN ST STE B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537402",
            "telephone_number": "732-301-6904",
            "fax_number": "563-276-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "EXECTIVE MEMBER",
        "authorized_official_telephone_number": "732-301-6904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN, PMNHP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden State Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Toms River, NJ
• Providers in Toms River, 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 3, 2023; 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.