Organization Active NPI

Amity Center for Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1992521496
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMITY CENTER FOR MENTAL HEALTH
Doing business as
Amity Center for Mental Health
Practice address
936 Stuyvesant Ave Ste 1
Union, NJ 07083-6998
Phone
(973) 580-1497
NPI assigned
Nov 29, 2024
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Dr. Dr.Olufunmilayo O. Ilori, DNP
Title
Ceo
Phone
(973) 580-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

936 Stuyvesant Ave Ste 1
Union, NJ 07083-6998

Mailing address

2 Susan CT
Farmingdale, NJ 07727-3761
Phone (973) 580-1497

Other names 1

  • AMITY CENTER FOR MENTAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

936 Morris Ave
Union, NJ 07083

936 Stuyvesant Ave
Ste 1
Union, NJ 07083
Phone (973) 580-1497

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1992521496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUSAN CT",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273761",
            "telephone_number": "973-580-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 STUYVESANT AVE STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836998",
            "telephone_number": "973-580-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "ILORI",
        "authorized_official_first_name": "DR.OLUFUNMILAYO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-580-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMITY CENTER FOR MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.