Soul Health Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUL HEALTH PSYCHIATRY LLC

Practice address

197 State Route 18 Ste 3000
East Brunswick, NJ 08816-1440

Phone

(929) 377-1259

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Starr MontalvoNPI 1770136152

Title

Owner

Phone

(929) 377-1259

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Starr Montalvo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1770136152
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1609607902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 ROUTE 18 STE D118",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161928",
            "telephone_number": "929-377-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 STATE ROUTE 18 STE 3000",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161440",
            "telephone_number": "929-377-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HEALTH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "STARR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-377-1259"
    },
    "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": []
}

• Sophisticated Ventures LLC
• Howard Joseph Sorkin, D.M.D.
• Norman Samuel Sorkin, MD
• Michelle Soto, OTR
• Remiah Soto
• South River EMS Inc
• Spadafino Chiropractic and Wellness Center, LLC
• Michael Spadafino, DC
• Frank J Spano Jr., DC
• Joseph Sparapani, MD

• Psychiatric/Mental Health Nurse Practitioner in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• 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 Aug 9, 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.