Victory Psych Consultation Services
Nurse Practitioner, Psych/Mental Health in Blackwood, New Jersey
1124781364- Practice location
- 188 Fries Mill RD Ste E2, Blackwood, NJ 08012-2015
- Phone
- 551-214-4475
- Fax
- 609-237-0772
- Last updated
- July 22, 2026
Victory Psych Consultation Services is a healthcare organization based in Blackwood, NJ. Victory Psych Consultation Services practices in Blackwood, NJ. The NPI Number for Victory Psych Consultation Services is 1124781364. The current practice location address for Victory Psych Consultation Services is 188 Fries Mill RD Ste E2, Blackwood, NJ 08012-2015 and can be reached out via phone at 551-214-4475 and via fax at 609-237-0772.
Provider Profile Details
- NPI Number
- 1124781364
- Provider Name
- Victory Psych Consultation Services
- Provider Entity Type
- Organization
- Address
- 188 Fries Mill RD Ste E2, Blackwood, NJ 08012-2015
- Phone Number
- 551-214-4475
- Fax Number
- 609-237-0772
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Mr. Yahaya A Animashaun, APN · Nurse Practioner · 908-247-8768
- Provider Enumeration Date
- October 14, 2021
- Last Update Date
- July 22, 2026
- Certification Date
- July 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 188 Fries Mill RD Ste E2
Blackwood, NJ 08012-2015 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2015
- Phone Number
- 551-214-4475
- Fax Number
- 609-237-0772
Provider Business Mailing Address Details
- Address
- 188 Fries Mill RD Ste E2
Blackwood, NJ 08012-2015 - City
- Blackwood
- State
- NJ
- Zip
- 08012-2015
- Phone Number
- 551-214-4475
- Fax Number
- 609-237-0772
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Blackwood, NJ
View all Nurse Practitioner, Psych/Mental Health providers in Blackwood →- Kimberly M Dimaio, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1942107933
- Mr. Yahaya A Animashaun, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1710157961
- Mrs. Jessica J Williams, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1598565079
- Oluwasanmi A OjoNurse Practitioner, Psych/Mental Health · NPI 1952133605
- Shayla J Pearson, APNNurse Practitioner, Psych/Mental Health · NPI 1760745707
- Tatanisha Hason, APNNurse Practitioner, Psych/Mental Health · NPI 1013420298
Frequently Asked Questions
What is the NPI number of Victory Psych Consultation Services?
The NPI number of Victory Psych Consultation Services is 1124781364. It was assigned on October 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Victory Psych Consultation Services?
Victory Psych Consultation Services is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Victory Psych Consultation Services practice?
The practice location is 188 Fries Mill RD Ste E2, Blackwood, NJ 08012-2015. The office can be reached at 551-214-4475 (phone) or 609-237-0772 (fax).
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 1124781364 directly on the NPPES registry website.