Organization Active NPI

Healing Garden Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1730890633
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALING GARDEN PSYCHIATRIC SERVICES PLLC
Practice address
653 W Edgar Rd # 1162
Linden, NJ 07036-6574
Phone
(848) 289-1892
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Ololade Ekwere, APRN- PMHNP
Title
Owner
Phone
(848) 289-1892

Specialties & licenses 1

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

Addresses

Primary practice location

653 W Edgar Rd # 1162
Linden, NJ 07036-6574

Mailing address

653 W Edgar Rd # 1162
Linden, NJ 07036-6574
Phone (848) 289-1892

Other identifiers 1

IdentifierTypeStateIssuer
1871929885OtherNPI INDIVIDUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1730890633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W EDGAR RD # 1162",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "848-289-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W EDGAR RD # 1162",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "848-289-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GARDEN PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "EKWERE",
        "authorized_official_first_name": "OLOLADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-289-1892",
        "authorized_official_credential": "APRN- PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1871929885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.