Purpleblue Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PURPLEBLUE BEHAVIORAL HEALTH

Practice address

34 Union Ave
Irvington, NJ 07111-3219

Phone

(551) 358-7382

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Regina Inokon, APN, DNPNPI 1982210969

Title

Pmhnp-BC/Co-Owner

Phone

(551) 358-7383

Specialties & licenses 2

Addresses

Other names 1

• Same Doing business as

Practitioners 1

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

• Regina N Inokon

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1982210969
  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1780428623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CLERMONT TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838003",
            "telephone_number": "551-358-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "551-358-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLEBLUE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "INOKON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PMHNP-BC/CO-OWNER",
        "authorized_official_telephone_number": "551-358-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN, DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.