Holistic Psyc Provider
NPI 1336936996 · Psychiatric/Mental Health Nurse Practitioner · Somerset, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holistic Psyc Provider is a Psychiatric/Mental Health Nurse Practitioner organization in Somerset, NJ (NPI 1336936996).
Provider details
- NPI number
- 1336936996
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kenechukwu Ezeanya, Owner/Ceo(973) 737-8630
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Holistic Psyc Provider's NPI number?
- Holistic Psyc Provider's National Provider Identifier (NPI) is 1336936996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holistic Psyc Provider?
- Holistic Psyc Provider is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Holistic Psyc Provider located?
- Holistic Psyc Provider's practice location on file with NPPES is 1521 Goshen Ln, Somerset, NJ 08873-2587.
- What is Holistic Psyc Provider's phone number?
- The practice phone number listed in the NPPES registry for Holistic Psyc Provider is (973) 737-8630.
- Does Holistic Psyc Provider accept Medicare?
- Holistic Psyc Provider is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holistic Psyc Provider?
- The authorized official listed on Holistic Psyc Provider's NPPES record is Kenechukwu Ezeanya, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holistic Psyc Provider's NPI active?
- Yes — Holistic Psyc Provider's NPI (1336936996) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.