Active NPIOrganization

Samala Integrative Psych LLC

Nurse Practitioner, Psych/Mental Health in Fair Lawn, New Jersey

NPI Number1013844414
Practice location
15-01 Broadway Ste 6, Fair Lawn, NJ 07410-6006
Fax
—
Last updated
May 7, 2026

Samala Integrative Psych LLC is a healthcare organization based in Fair Lawn, NJ. Samala Integrative Psych LLC practices in Fair Lawn, NJ. The NPI Number for Samala Integrative Psych LLC is 1013844414. The current practice location address for Samala Integrative Psych LLC is 15-01 Broadway Ste 6, Fair Lawn, NJ 07410-6006 and can be reached out via phone at 201-822-1043.

Provider Profile Details

NPI Number
1013844414
Provider Name
Samala Integrative Psych LLC
Provider Entity Type
Organization
Address
15-01 Broadway Ste 6, Fair Lawn, NJ 07410-6006
Phone Number
201-822-1043
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Delmon James Infante Samala, DNP, APN, PMHNP-BC · Owner · 201-822-1043
Provider Enumeration Date
May 7, 2026
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway Ste 6
Fair Lawn, NJ 07410-6006
Zip
07410-6006
Phone Number
201-822-1043
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway Ste 6
Fair Lawn, NJ 07410-6006
City
Fair Lawn
State
NJ
Zip
07410-6006

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samala Integrative Psych LLC?

The NPI number of Samala Integrative Psych LLC is 1013844414. It was assigned on May 7, 2026 and is currently active in the NPPES registry.

What is the specialty of Samala Integrative Psych LLC?

Samala Integrative Psych LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Samala Integrative Psych LLC practice?

The practice location is 15-01 Broadway Ste 6, Fair Lawn, NJ 07410-6006. The office can be reached at 201-822-1043 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013844414 directly on the NPPES registry website.

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