Awaken Your Mind LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AWAKEN YOUR MIND LLC

Practice address

141 S Black Horse Pike
Ste 104
Blackwood, NJ 08012-2975

Phone

(856) 393-1991

NPI assigned

Sep 17, 2015

Last updated

Sep 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Masry, MDNPI 1396779054

Title

Sole Owner

Phone

(856) 393-1991

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Y Masry, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • West Palm Beach, FL
  • NPI 1396779054
  Authorized official Same address or phone

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1770952996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S BLACK HORSE PIKE",
            "address_2": "STE 104",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122975",
            "telephone_number": "856-393-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S BLACK HORSE PIKE",
            "address_2": "STE 104",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122975",
            "telephone_number": "856-393-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN YOUR MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MASRY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "856-393-1991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Retinal Consultants, LLC (Eye Associates Vineland)
• Associated Retinal Consultants, LLC (Eye Associates Vineland)
• Assurance Transportation
• Vincent Austin-Cole, LCSW
• Awaken Your Mastery
• Evelyn Mankah Awundaga
• Frank Milton Banks, DO
• Eric Marc Barbera, DC
• Beacon Specialized Living New Jersey, Inc.
• Beneficial Home Care

• Psychiatry Physician in Blackwood, NJ
• Providers in Blackwood, 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 Sep 17, 2015; 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.