Organization Active NPI

Amani Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Amesbury, MA
National Provider Identifier
1316714280
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMANI MENTAL HEALTH SERVICES, LLC
Practice address
110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129
Phone
(978) 996-5401
Fax
(978) 363-0016
NPI assigned
Dec 11, 2023
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
John Njuguna, PMHNP-BCNPI 1184341802
Title
Owner
Phone
(978) 996-5401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129

Mailing address

110 Haverhill Rd Ste 319
Amesbury, MA 01913-2129
Phone (978) 996-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240826002613 MA Part B Supplier - Clinic/Group Practice 8921547696 Receives reassigned benefits from 1 practitioner
Practice locations: Amesbury, MA

National Provider Directory

National Provider Directory

Locations

110 Haverhill Rd
Ste 319
Amesbury, MA 01913
Phone (978) 384-0876

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1316714280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 319",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132129",
            "telephone_number": "978-996-5401",
            "fax_number": "978-363-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 319",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132129",
            "telephone_number": "978-996-5401",
            "fax_number": "978-363-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-996-5401",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.