Active NPIOrganization

Dynamic Mental Health Services, LLC

Nurse Practitioner, Psych/Mental Health in Old Tappan, New Jersey

NPI Number1669337705
Practice location
48 Bi State Plz # 841, Old Tappan, NJ 07675-7003
Fax
—
Last updated
May 22, 2026

Dynamic Mental Health Services, LLC is a healthcare organization based in Old Tappan, NJ. Dynamic Mental Health Services, LLC practices in Old Tappan, NJ. The NPI Number for Dynamic Mental Health Services, LLC is 1669337705. The current practice location address for Dynamic Mental Health Services, LLC is 48 Bi State Plz # 841, Old Tappan, NJ 07675-7003 and can be reached out via phone at 917-383-3750.

Provider Profile Details

NPI Number
1669337705
Provider Name
Dynamic Mental Health Services, LLC
Provider Entity Type
Organization
Address
48 Bi State Plz # 841, Old Tappan, NJ 07675-7003
Phone Number
917-383-3750
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Ezinne Ezete, APRN, PMHNP-BC · Managing Member · 917-383-3750
Provider Enumeration Date
December 22, 2025
Last Update Date
May 22, 2026
Certification Date
May 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Bi State Plz # 841
Old Tappan, NJ 07675-7003
Zip
07675-7003
Phone Number
917-383-3750
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
48 Bi State Plz
Pmb841
Old Tappan, NJ 07675-7003
City
Old Tappan
State
NJ
Zip
07675-7003
Phone Number
917-383-3750

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 Dynamic Mental Health Services, LLC?

The NPI number of Dynamic Mental Health Services, LLC is 1669337705. It was assigned on December 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Dynamic Mental Health Services, LLC?

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

Where does Dynamic Mental Health Services, LLC practice?

The practice location is 48 Bi State Plz # 841, Old Tappan, NJ 07675-7003. The office can be reached at 917-383-3750 (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 1669337705 directly on the NPPES registry website.

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