Healthcare Provider Details

I. General information

NPI: 1275467201
Provider Name (Legal Business Name): CARNALL PSYCHIATRIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BAY AVE STE 107
SOMERS POINT NJ
08244-2554
US

IV. Provider business mailing address

PO BOX 1082
MORRISVILLE PA
19067-9082
US

V. Phone/Fax

Practice location:
  • Phone: 856-588-0306
  • Fax: 856-588-0376
Mailing address:
  • Phone: 856-588-0306
  • Fax: 856-588-0376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMY CARNALL
Title or Position: OWNER
Credential:
Phone: 856-588-0306