Active NPI
Three Willows Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Burlington, NJ
National Provider Identifier
1871400853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THREE WILLOWS BEHAVIORAL HEALTH
- Practice address
- 23 Philly Way
Burlington, NJ 08016-3041 - Phone
- (609) 531-1017
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharonda Beverly
- Title
- Business Manager
- Phone
- (856) 655-2599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
23 Philly Way
Burlington, NJ 08016-3041
Mailing address
23 Philly Way
Burlington, NJ 08016-3041
Phone (609) 531-1017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1871400853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PHILLY WAY",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080163041",
"telephone_number": "609-531-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PHILLY WAY",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080163041",
"telephone_number": "609-531-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE WILLOWS BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "BEVERLY",
"authorized_official_first_name": "SHARONDA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "856-655-2599"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.