My Psych Provider LLC
NPI 1730954595 · Psychiatric/Mental Health Nurse Practitioner · Rockaway, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
My Psych Provider LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Rockaway, NJ (NPI 1730954595).
Provider details
- NPI number
- 1730954595
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samuel Okechukwu, Psychiatric Nurse Practitioner(973) 791-9365
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
2 yrs 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
- 2023-11-21
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is My Psych Provider LLC's NPI number?
- My Psych Provider LLC's National Provider Identifier (NPI) is 1730954595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Psych Provider LLC?
- My Psych Provider LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is My Psych Provider LLC located?
- My Psych Provider LLC's practice location on file with NPPES is 100 Enterprise Dr Ste 301, Rockaway, NJ 07866-2129.
- What is My Psych Provider LLC's phone number?
- The practice phone number listed in the NPPES registry for My Psych Provider LLC is (973) 791-9365.
- Does My Psych Provider LLC accept Medicare?
- My Psych Provider LLC 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 My Psych Provider LLC?
- The authorized official listed on My Psych Provider LLC's NPPES record is Samuel Okechukwu, Psychiatric Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Psych Provider LLC's NPI active?
- Yes — My Psych Provider LLC's NPI (1730954595) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.