Amanda Lynn Mitchell, APN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01421800 Issued in NJ

Practice address

100 Ashurst LN Ste 309
Mount Holly, NJ 08060-1202

Phone

(856) 200-3141

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Marigold Center for Mental Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Holly, NJ
  • NPI 1609680768

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1558075838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 ROUTE 206",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080881425",
            "telephone_number": "760-583-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASHURST LN STE 309",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601202",
            "telephone_number": "856-200-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01421800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Menezes-Allman
• Rashida Mengi, MD
• Eric T. Miller, CRNA
• Kerstin Mingee, MS, LAC
• Lara Mitchell Bauducco, APN
• Jacqueline Mitchell
• Sanaa Saher Mithaiwala, D.O.
• Mobile Physician Group, PC
• Sergey Moldavskiy, D.O.
• Jeffrey Bruce Morris, MD

• All providers in Mount Holly, NJ
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.