Individual provider Active NPI

Lauren Amanda Ucles

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1366277576
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15138600 Issued in NJ
Practice address
74 Brick Blvd Ste 204
Brick, NJ 08723-7984
Phone
(732) 832-3444
Fax
(732) 532-0801
NPI assigned
Sep 6, 2024
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15138600 NJ Primary

Addresses

Primary practice location

74 Brick Blvd Ste 204
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd Ste 204
Brick, NJ 08723-7984
Phone (732) 832-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002951 NJ Practitioner - Nurse Practitioner 8921531898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone (609) 348-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15138600NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Apr 21, 2025 Accepting new patients
Atlanticare Behavioral Health, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince Apr 21, 2025 Accepting new patients
Atlanticare Behavioral Health, Inc. Current Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Oct 17, 2024 Accepting new patients
Premier Mental & Behavioral Services, Inc Past Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1366277576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD STE 204",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-832-3444",
            "fax_number": "732-532-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD STE 204",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-832-3444",
            "fax_number": "732-532-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCLES",
        "first_name": "LAUREN",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15138600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.