Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Psych Provider LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1730954595

My Psych Provider LLC is a Psychiatric/Mental Health Nurse Practitioner in Rockaway, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129
Phone: (973) 791-9365
Fax: (973) 869-2449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1730954595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Okechukwu — Psychiatric Nurse Practitioner · (973) 791-9365
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address100 Enterprise Dr Ste 301, Rockaway, NJ 07866-2129

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