Coastal Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COASTAL MENTAL HEALTH LLC

Practice address

25 Pompton Ave Ste 101
Verona, NJ 07044-2938

Phone

(302) 219-7424

Fax

(281) 836-5486

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Luciana Thompson

Title

Nurse Practitioner

Phone

(302) 219-7424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1609644343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE STE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442938",
            "telephone_number": "302-219-7424",
            "fax_number": "281-836-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE STE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442938",
            "telephone_number": "302-219-7424",
            "fax_number": "281-836-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "302-219-7424"
    },
    "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": []
}

• Chrill Care, Inc
• Douglas Cicero
• Richard Cirello, M.D.
• Clearview Import Corporation
• Clinical Laboratory of NJ LLC
• Danielle M Coffey, NP
• Cynthia Hilary Cohen, MSW LCSW
• Aileen Collucci, MA CCC-SLP
• Nicole Y Contreras, MT
• Cornerstone Counseling Associates LLC

• Psychiatric/Mental Health Nurse Practitioner in Verona, NJ
• Providers in Verona, 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 Dec 12, 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.