Anna Ictchenko, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Forked River, New Jersey
1265241459- Practice location
- 34 Manchester Ave Ste 202, Forked River, NJ 08731-1366
- Phone
- 973-954-4592
- Fax
- 973-954-4592
- Last updated
- September 26, 2025
Anna Ictchenko is a Nurse Practitioner, Psych/Mental Health based in Forked River, NJ. Anna Ictchenko practices in Forked River, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Anna Ictchenko is 1265241459 and holds a License No. 26NJ15261500 (NJ). The current practice location address for Anna Ictchenko is 34 Manchester Ave Ste 202, Forked River, NJ 08731-1366 and can be reached out via phone at 973-954-4592 and via fax at 973-954-4592.
Provider Profile Details
- NPI Number
- 1265241459
- Provider Name
- Anna Ictchenko
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 34 Manchester Ave Ste 202, Forked River, NJ 08731-1366
- Phone Number
- 973-954-4592
- Fax Number
- 973-954-4592
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 2, 2025
- Last Update Date
- September 26, 2025
- Certification Date
- September 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Manchester Ave Ste 202
Forked River, NJ 08731-1366 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-1366
- Phone Number
- 973-954-4592
- Fax Number
- 973-954-4592
Provider Business Mailing Address Details
- Address
- 1 University Plz Ste 408
Hackensack, NJ 07601-6204 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6204
- Phone Number
- 973-954-4592
- Fax Number
- 973-954-4592
License Information
- License Number
- 26NJ15261500
- License State
- NJ
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Anna Ictchenko, PMHNP-BC?
The NPI number of Anna Ictchenko, PMHNP-BC is 1265241459. It was assigned on January 2, 2025 and is currently active in the NPPES registry.
What is the specialty of Anna Ictchenko, PMHNP-BC?
Anna Ictchenko, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15261500.
Where does Anna Ictchenko, PMHNP-BC practice?
The practice location is 34 Manchester Ave Ste 202, Forked River, NJ 08731-1366. The office can be reached at 973-954-4592 (phone) or 973-954-4592 (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 1265241459 directly on the NPPES registry website.