Advancing Wellness in Psychiatry, Nurse Practitioner Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ADVANCING WELLNESS IN PSYCHIATRY, NURSE PRACTITIONER SERVICES, LLC

Practice address

138 Nadine Blvd
Pocono Summit, PA 18346-7834

Phone

(570) 212-9590

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer McGovern, NPNPI 1588915813

Title

Owner/Pmhnp-BC

Phone

(570) 212-9590

Specialties & licenses 1

Addresses

Other names 1

• Advancing Wellness in Psychiatry Doing business as

Practitioners 1

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

• Jennifer Jean McGovern, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocono Summit, PA
  • NPI 1588915813

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1487404398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183460428",
            "telephone_number": "705-212-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NADINE BLVD",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183467834",
            "telephone_number": "570-212-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCING WELLNESS IN PSYCHIATRY, NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PMHNP-BC",
        "authorized_official_telephone_number": "570-212-9590",
        "authorized_official_name_prefix": "Ms.",
        "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": [
        {
            "organization_name": "Advancing Wellness in Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• ABA Therapy Services LLC
• Edward Arthur Achiron, CCC-SLP
• Taylor Elizabeth Baloga
• Fabienne Bazile, NP
• Amanda J Brown, LPN
• Joseph Castellani I
• Stephanie Childs, DMD

• All providers in Pocono Summit, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.