Truevine Addiction and Mental Health Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TRUEVINE ADDICTION AND MENTAL HEALTH CLINIC LLC

Practice address

2294 2ND Ave
New York, NY 10035-4869

Phone

(201) 993-3110

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Stella Okah, NPNPI 1114523867

Title

Ceo

Phone

(201) 993-3110

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stella Okah

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1114523867
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1245085414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRANT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053512",
            "telephone_number": "201-993-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354869",
            "telephone_number": "201-993-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUEVINE ADDICTION AND MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "OKAH",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-993-3110",
        "authorized_official_credential": "NP"
    },
    "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": []
}

• Cynthia Truell, NP, CASAC
• Maya Christie Trueman, DPM
• Amy L Truesdale, D.D.S.
• Taylor Truesdale, PA-C
• Alex Truesdell
• Alisa Dawn Trugerman, PHD
• Sarah Trugerman
• Joseph Truglio, M.D.
• Trugo Capital LLC
• Sofia Trujillo-Arcieri, SLP

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.