Individual provider Active NPI

Debra Peneiras, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1427063940
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NN11373400 Issued in NJ
Practice address
660 Tennent Rd Ste 102
Manalapan, NJ 07726-3163
Phone
(732) 993-3398
Fax
(732) 719-2108
NPI assigned
Jul 31, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 26NN11373400 NJ Primary

Addresses

Primary practice location

660 Tennent Rd Ste 102
Manalapan, NJ 07726-3163

Mailing address

22 Bunker Hill Rd
Freehold, NJ 07728-1381
Phone (732) 687-5644

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
I20250829003965 NJ Practitioner - Nurse Practitioner 4587803952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 Tennent Rd
Suite 102
Manalapan, NJ 07726-3163
Phone (732) 993-3398

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCL Medical Consulting Inc. Psychiatric/Mental Health CurrentSince Jul 9, 2025 Accepting new patients
Balanced Mind RX LLC Psychiatric/Mental Health CurrentSince Aug 12, 2025 Accepting new patients

Locations

660 Tennent Rd
Ste 102
Manalapan, NJ 07726
Phone (732) 993-3398

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1427063940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BUNKER HILL RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281381",
            "telephone_number": "732-687-5644",
            "fax_number": "732-410-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 102",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "732-993-3398",
            "fax_number": "732-719-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEIRAS",
        "first_name": "DEBRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NN11373400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.