Provider Demographics
NPI:1568140838
Name:HEADSTOGETHER PSYCHE SOLUTIONS
Entity Type:Organization
Organization Name:HEADSTOGETHER PSYCHE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC; FNP-BC
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:NANA-POKUA
Authorized Official - Last Name:OPPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-318-8007
Mailing Address - Street 1:155 ROUTE 22 STE 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3109
Mailing Address - Country:US
Mailing Address - Phone:609-337-2207
Mailing Address - Fax:732-623-9654
Practice Address - Street 1:193 AVON AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07081
Practice Address - Country:US
Practice Address - Phone:609-337-2207
Practice Address - Fax:732-623-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty