Ideal Psych Behavioral Health Limited Liability Company

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY

Practice address

1145 Bordentown Ave, 3Rd Floor Room 18
Parlin, NJ 08859-0885

Phone

(862) 264-8062

Fax

(862) 418-4933

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Emily Wanyoike, DNPNPI 1790375400

Title

President

Phone

(862) 264-8062

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Emily Wanyoike

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Knolls, NJ
  • NPI 1790375400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1639957772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 QUINCY CIR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101331",
            "telephone_number": "862-264-8062",
            "fax_number": "732-553-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BORDENTOWN AVE, 3RD FLOOR ROOM 18",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088590885",
            "telephone_number": "862-264-8062",
            "fax_number": "862-418-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "WANYOIKE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-264-8062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732163331",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IDEAL PSYCH BEHAVIORAL HEALTH LIMITED LIABILITY COMPANY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatry Physician in Parlin, NJ
• Providers in Parlin, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.