Healthcare Provider Details

I. General information

NPI: 1063269900
Provider Name (Legal Business Name): AMBER CAULFIELD APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MADISON AVE FL 6
MOUNT HOLLY NJ
08060-2099
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-355-7118
  • Fax: 856-325-5222
Mailing address:
  • Phone: 856-355-7118
  • Fax: 856-325-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15445200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: