Active NPIOrganization

St Michael Mental Care Consult LLC

Nurse Practitioner, Psych/Mental Health in East Orange, New Jersey

NPI Number1194447144
Practice location
90 Washington St, East Orange, NJ 07017-1050
Fax
973-399-3786
Last updated
February 11, 2026

St Michael Mental Care Consult LLC is a healthcare organization based in East Orange, NJ. St Michael Mental Care Consult LLC practices in East Orange, NJ. The NPI Number for St Michael Mental Care Consult LLC is 1194447144. The current practice location address for St Michael Mental Care Consult LLC is 90 Washington St, East Orange, NJ 07017-1050 and can be reached out via phone at 973-304-5180 and via fax at 973-399-3786.

Provider Profile Details

NPI Number
1194447144
Provider Name
St Michael Mental Care Consult LLC
Provider Entity Type
Organization
Address
90 Washington St, East Orange, NJ 07017-1050
Phone Number
973-304-5180
Fax Number
973-399-3786
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Michael Enwere · Apn/Owner · 973-412-6427
Provider Enumeration Date
September 15, 2022
Last Update Date
February 11, 2026
Certification Date
February 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Washington St
East Orange, NJ 07017-1050
Zip
07017-1050
Phone Number
973-304-5180
Fax Number
973-399-3786
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
95 Grant Pl
Irvington, NJ 07111-1441
City
Irvington
State
NJ
Zip
07111-1441
Phone Number
973-304-5180
Fax Number
973-399-3786

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 St Michael Mental Care Consult LLC?

The NPI number of St Michael Mental Care Consult LLC is 1194447144. It was assigned on September 15, 2022 and is currently active in the NPPES registry.

What is the specialty of St Michael Mental Care Consult LLC?

St Michael Mental Care Consult LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does St Michael Mental Care Consult LLC practice?

The practice location is 90 Washington St, East Orange, NJ 07017-1050. The office can be reached at 973-304-5180 (phone) or 973-399-3786 (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 1194447144 directly on the NPPES registry website.

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