Organization Active NPI

Marigold Center for Mental Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1609680768
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MARIGOLD CENTER FOR MENTAL HEALTH INC
Practice address
100 Ashurst LN Ste 115
Mount Holly, NJ 08060-1202
Phone
(856) 200-3141
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Amanda Mitchell, PMHNP-BCNPI 1558075838
Title
Owner
Phone
(856) 200-3141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 Ashurst LN Ste 115
Mount Holly, NJ 08060-1202

Mailing address

1726 Route 206
Southampton, NJ 08088-1425
Phone (856) 200-3141

National Provider Directory

National Provider Directory

Locations

100 Ashurst Ln
Ste 115
Mount Holly, NJ 08060
Phone (609) 853-5494

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1609680768",
    "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": "856-200-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASHURST LN STE 115",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601202",
            "telephone_number": "856-200-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD CENTER FOR MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-200-3141",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.