Theresa Aryee Baffour, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lyons, NJ
NPI 1609528223 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1609528223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP025164 (PA)
- Practice address
- 151 Knollcroft Rd
Lyons, NJ 07939-5001 - Phone
- (908) 337-1199
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
445 Marshall St
Suite 149
Phillipsburg, NJ 08865-2695
Phone (484) 544-2703
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220413001105 | NJ | Practitioner - Nurse Practitioner | 5991191231 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025164 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T & K Baffour Psychiatric Recovery Center | Psychiatric/Mental Health | Current |
Accepting new patients |
| Mindset Behavioral Services LLC | Current |
Accepting new patients | |
| Amazing Grace Medical Center LLC | Past |
Accepting new patients |
Locations
445 Marshall St
Ste 149
Phillipsburg, NJ 08865
Phone (484) 544-2703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025164 | PA | Yes |
Addresses
Primary practice location
151 Knollcroft Rd
Lyons, NJ 07939-5001
Mailing address
PO Box 203
Phillipsburg, NJ 08865-0203
Phone (908) 337-1199
Other providers in Lyons, NJ
- Mary V Alexander
- Rengitha Alummoottil
- Onika Amos
- Afifa Ansari
- Hassan Augustin
- Laura Jean Banko
- Janelle Bartley
- Ann R Beckerman
- Phyllis Plesser Bengal
- Michelle Shimara Benloss
All providers in Lyons, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.