Active NPIIndividual providerSole proprietor

Mr. Yahaya A Animashaun, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Blackwood, New Jersey

NPI Number1710157961
Practice location
188 Fries Mill RD Ste E2, Blackwood, NJ 08012-2015
Fax
609-237-0772
Last updated
July 22, 2026

Yahaya Akolade Animashaun is a Nurse Practitioner, Psych/Mental Health based in Blackwood, NJ. Yahaya Akolade Animashaun practices in Blackwood, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Yahaya Akolade Animashaun is 1710157961 and holds a License No. 26no10656800 (NJ). The current practice location address for Yahaya Akolade Animashaun 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
1710157961
Provider Name
Yahaya Akolade Animashaun
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
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
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2008
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
Zip
08012-2015
Phone Number
551-214-4475
Fax Number
609-237-0772
Blackwood, NJ 08012Get directions →

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

License Number (1)
26no10656800
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJO1182500
License State (2)
NJ
Taxonomy (2)
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 Mr. Yahaya A Animashaun, PMHNP-BC?

The NPI number of Mr. Yahaya A Animashaun, PMHNP-BC is 1710157961. It was assigned on March 4, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Yahaya A Animashaun, PMHNP-BC?

Mr. Yahaya A Animashaun, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26no10656800.

Where does Mr. Yahaya A Animashaun, PMHNP-BC 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 1710157961 directly on the NPPES registry website.

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