Innovative Psychiatry LLC

Primary specialty

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

Legal business name

INNOVATIVE PSYCHIATRY LLC

Practice address

157 Tennyson Dr
Plainsboro, NJ 08536-3033

Phone

(732) 713-6280

Fax

(866) 892-0650

NPI assigned

May 14, 2024

Last updated

May 14, 2024By 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

Lavanya KamineniNPI 1104281179

Title

Provider

Phone

(732) 713-6280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Lavanya Kamineni, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainsboro, NJ
  • NPI 1104281179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1841049707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TENNYSON DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363033",
            "telephone_number": "732-713-6280",
            "fax_number": "866-892-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TENNYSON DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363033",
            "telephone_number": "732-713-6280",
            "fax_number": "866-892-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "KAMINENI",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-713-6280"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Life of New Jersey
• Innovative Life of New Jersey
• Innovative Life of New Jersey
• Innovative Life of New Jersey
• Innovative Life of New Jersey
• Laura B Irwin, MSW, LCSW
• Christine Ann Isaac, DSW, LCSW
• Joel Isais, PHARMD
• Brandon Israel
• Isao Iwata, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Plainsboro, NJ
• Providers in Plainsboro, 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 May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.