Organization Active NPI

Innovative Mental Health Therapies

  • Psychiatry Physician
  • East Brunswick, NJ
National Provider Identifier
1861152530
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNOVATIVE MENTAL HEALTH THERAPIES
Practice address
330 Milltown Rd Ste 22
East Brunswick, NJ 08816-2267
Phone
(908) 992-9227
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Grace Elizabeth Peters, APN
Title
Psychiatric Nurse Practitioner
Phone
(732) 841-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

330 Milltown Rd Ste 22
East Brunswick, NJ 08816-2267

Mailing address

5406 Woodland Ave
Suite 2305
Pocono Pines, PA 18350
Phone (732) 841-9191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1861152530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 WOODLAND AVE",
            "address_2": "SUITE 2305",
            "city": "POCONO PINES",
            "state": "PA",
            "postal_code": "18350",
            "telephone_number": "732-841-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MILLTOWN RD STE 22",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162267",
            "telephone_number": "908-992-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MENTAL HEALTH THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-841-9191",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.