Kathleen Powell

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01371600 Issued in NJ

Practice address

1770 Mount Ephraim Ave
Camden, NJ 08104-1837

Phone

(856) 635-0200

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optwell Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Haddon Heights, NJ
  • NPI 1508615451
  NPD Authorized official
• Restorative Programming, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Camden, NJ
  • NPI 1376760942
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1659094852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351294",
            "telephone_number": "856-375-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOUNT EPHRAIM AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041837",
            "telephone_number": "856-635-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351294",
            "country_code": "US",
            "telephone_number": "856-375-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01371600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Alicia Popolo
• Janet Porcelli
• Amelia Anna Porretta, PA-C
• Ernest M. Post, MD
• Christopher Paul Potestio, M.D.
• Basant Kumar Pradhan, M.D.
• Reena Pramood, M.D.
• Sailesh Nannapaneni Prasad, MD
• Oudom Preap, CRNA
• Megan Marie Predina, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Camden, NJ
• Providers in Camden, 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 Nov 17, 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.