Dyana Thompson Pmhnp-BC, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DYANA THOMPSON PMHNP-BC, LLC

Practice address

4 Anderson Dr
Wayne, NJ 07470-2617

Phone

(973) 747-2822

Fax

(551) 800-3975

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Dyana Thompson, APN

Title

Owner

Phone

(973) 747-2822

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26730/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1912645672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ANDERSON DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ANDERSON DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702617",
            "telephone_number": "973-747-2822",
            "fax_number": "551-800-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYANA THOMPSON PMHNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-747-2822",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ID",
            "identifier": "0450678126",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mera Belle Gamo Dumalag, NP-C
• Jessie Diana Dunitz
• Mary Ellen Dupre-Burns, LPC
• DWF Imaging LLC
• Cherise Dyal, MD
• John J Dzurenda, OD
• Eagle Medical Services, Inc
• Sandra C Eckstein, M.S.W.
• Gurbuz Edeer, DMD
• Natalie Cay Edelhauser, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.