{
"Npi": {
"NPI": "1295672962",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PSYCURE INTEGRATED CARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "647 NYE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRVINGTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07111-2301",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-393-3142",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "830 MORRIS TPKE STE 401",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHORT HILLS",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07078-2620",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-393-3142",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/30/2026",
"LastUpdateDate": "04/30/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANYEJI",
"AuthorizedOfficialFirstName": "URENNA",
"AuthorizedOfficialMiddleName": "LYDIA",
"AuthorizedOfficialTitle": "CHILD & ADOLESCENT PSYCHIATRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "973-393-3142",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM0855X",
"TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}