Individual Healthcare Provider
Nicole Ellen Bryan, RN, MSN, PMHNP-BC
Provider's NPPES record last updated: July 16, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1548076912
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Fairfield, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 12:46 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ15228500
Practice Locations
Practice Location
165 Passaic Ave
Fairfield, New Jersey 07004-3521
Phone: (800) 413-8020
Additional Practice Location
100 Heritage Valley Dr
Sewell, New Jersey 08080-1752
Phone: (856) 318-9654
Fax: (609) 739-8920
Additional Practice Location
100 Century Pkwy Ste 350
Mount Laurel, New Jersey 08054-1149
Phone: (856) 482-9000
Fax: (856) 482-1159
Additional Practice Location
42 E Laurel Rd Ste 1700
Stratford, New Jersey 08084-1354
Phone: (856) 566-7010
Fax: (856) 566-6956
Record Information
- Enumeration Date
- December 10, 2024
- Provider's NPPES Record Last Updated
- July 16, 2026
- Certification Date
- July 16, 2026
- NPISignal NPPES Dataset
- August 2026
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