Healthcare Provider Details

I. General information

NPI: 1295672962
Provider Name (Legal Business Name): PSYCURE INTEGRATED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 MORRIS TPKE STE 401
SHORT HILLS NJ
07078-2620
US

IV. Provider business mailing address

647 NYE AVE
IRVINGTON NJ
07111-2301
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-3142
  • Fax:
Mailing address:
  • Phone: 973-393-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. URENNA LYDIA ANYEJI
Title or Position: CHILD & ADOLESCENT PSYCHIATRIST
Credential: MD
Phone: 973-393-3142