Able Healthcare Nurse Practitioner in Psychiatry PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Moorestown, NJ
NPI 1902508385 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1902508385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ABLE HEALTHCARE NURSE PRACTITIONER IN PSYCHIATRY PLLC
- Practice address
- 1221 N Church St Ste 103-E
Moorestown, NJ 08057-1245 - Phone
- (609) 471-3560
- Fax
- (833) 520-1488
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Fausat Funmilola Odubiyi, DNP/PMHNP-BC/APN
- Title
- Ceo
- Phone
- (609) 471-3560
Practitioners 5
-
Fausat Funmilola Odubiyi, NURSE PRACTITIONER
-
Eva Barbara Sleczka, LCSW
-
Cheryl Demarues Turner, LSCW BCD ALSW CBT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230328001881 | NY | Part B Supplier - Clinic/Group Practice | 9335513696 |
Receives reassigned benefits from 2 practitioners Practice locations: Brooklyn, NY |
| O20230829003551 | NJ | Part B Supplier - Clinic/Group Practice | 9335513696 |
Receives reassigned benefits from 4 practitioners Practice locations: Rancocas, NJ; Collingswood, NJ |
National Provider Directory
Locations
1221 N Church St
Ste 103E
Moorestown, NJ 08057
Phone (609) 471-3560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1221 N Church St Ste 103-E
Moorestown, NJ 08057-1245
Mailing address
1221 N Church St Ste 103-E
Moorestown, NJ 08057-1245
Phone (929) 663-7542
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- Abundant Health for Relationships
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All providers in Moorestown, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.