Active NPI
Kimkyla Kritch, RN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Neptune, NJ
National Provider Identifier
1235496308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 26NR13117700
- Practice address
- 1945 Hwy 33
Neptune, NJ 07753-4859 - Phone
- (732) 776-2325
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 26NR13117700 | NJ | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00787400 | NJ |
Addresses
Primary practice location
1945 Hwy 33
Neptune, NJ 07753-4859
Mailing address
1945 Hwy 33
Neptune, NJ 07753-4859
Phone (732) 776-2325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR13117700 | NJ | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 26NJ00787400 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Neurohealth LLC | Multi-Specialty | Current | Accepting new patients |
| Beaware Corp | Multi-Specialty | Past | Accepting new patients |
Locations
9 Professional Cir
Ste 202
Colts Neck, NJ 07722
Phone (848) 482-7764
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": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1235496308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 HWY 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-776-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 HWY 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-776-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRITCH",
"first_name": "KIMKYLA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NJ",
"license": "26NR13117700",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00787400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.