Healthcare Provider Details

I. General information

NPI: 1336759877
Provider Name (Legal Business Name): PSYCHCARE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WATCHUNG AVENUE, UNIT 140
PLAINFIELD NJ
07060-1251
US

IV. Provider business mailing address

108 WATCHUNG AVENUE, UNIT 140
PLAINFIELD NJ
07060-1251
US

V. Phone/Fax

Practice location:
  • Phone: 908-356-3857
  • Fax: 908-325-7955
Mailing address:
  • Phone: 908-356-3857
  • Fax: 908-325-7955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: GLORIA U. AKUNNA
Title or Position: PRACTICE OWNER
Credential: DNP,PMHNP-BC,APN
Phone: 908-356-3857