Healthcare Provider Details

I. General information

NPI: 1902733892
Provider Name (Legal Business Name): CENTER FOR MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052-2806
US

IV. Provider business mailing address

571 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052-2806
US

V. Phone/Fax

Practice location:
  • Phone: 201-500-6992
  • Fax: 833-605-4359
Mailing address:
  • Phone: 201-500-6992
  • Fax: 833-605-4359

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: ULOMA NZEDURU
Title or Position: OWNER
Credential: NP
Phone: 973-606-0685