Daracy Behavioral Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DARACY BEHAVIORAL HEALTH SERVICES

Practice address

13 Lavister Dr
Mount Laurel, NJ 08054-2641

Phone

(973) 865-2129

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Vivien Ogon

Title

Credentialing Manager

Phone

(856) 398-0428

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.

• Olubukunola Odeyemi

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Laurel, NJ
  • NPI 1528790060
  Medicare reassignment NPD

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1205709151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAVISTER DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542641",
            "telephone_number": "973-865-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LAVISTER DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542641",
            "telephone_number": "973-865-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARACY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "OGON",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "856-398-0428"
    },
    "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": []
}

• Marcus Ryan Dalnogare, MD
• Kathryn Dalton
• Keith Richard Damerau, M.D.
• Lorie Dancy, MSN RN
• Leslie Daniels, LSW
• Philip Davidson, PA-C
• Erinn Kathryn Davies
• Daniel Jason Davis, CDCA
• Karley Elizabeth Davis
• Lauren Davis, OT

• Psychiatric/Mental Health Nurse Practitioner in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Dec 5, 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.