Dynamic Mental Health Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DYNAMIC MENTAL HEALTH SERVICES, LLC

Practice address

48 Bi State PLZ # 841
Old Tappan, NJ 07675-7003

Phone

(917) 383-3750

NPI assigned

Dec 22, 2025

Organization subpart

No

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

Authorized official

Name

Ezinne Ezete, APRN, PMHNP-BCNPI 1982305033

Title

Managing Member

Phone

(917) 383-3750

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.

• Ezinne Ezete, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Tappan, NJ
  • NPI 1982305033

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1669337705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BI STATE PLZ",
            "address_2": "PMB841",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757003",
            "telephone_number": "917-383-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BI STATE PLZ # 841",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757003",
            "telephone_number": "917-383-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "EZETE",
        "authorized_official_first_name": "EZINNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-383-3750",
        "authorized_official_credential": "APRN, 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": []
}

• Ann Marie Deangelo, MD
• Spero Evan Demoleas, D.P.M.
• Donna Maria Dephillips, M.D.
• Brian Desmond
• Donna M. Dephillips Limited Liability Company
• Eating Disorder Medical Nutrition Therapy
• Elyse Marie Elisano
• Elizabeth L. Enriquez, RN
• Everas Community Services, Inc.
• Ezinne Ezete, PMHNP-BC

• All providers in Old Tappan, NJ
• 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 May 22, 2026; 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.