NEW JERSEY ANYWHERE CLINIC LLC – NPI #1114874336
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

NEW JERSEY ANYWHERE CLINIC LLC is a psychiatry & neurologist located in BRICK, NJ. NPPES recently assigned the NPI number 1114874336 to NEW JERSEY ANYWHERE CLINIC LLC on March 16, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW JERSEY ANYWHERE CLINIC LLC below.

NPI Profile for
NEW JERSEY ANYWHERE CLINIC LLC

NPI Number
1114874336
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW JERSEY ANYWHERE CLINIC LLC
Primary location
44 PRINCETON AVE STE E
BRICK, NJ 08724-3550
Phone: (702) 848-2256 Fax: (702) 485-6746
Mailing address
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103-4138
Phone: Fax:
Organization Subpart
No
Authorized Official
GRANT BULLOCK
OWNER
Phone: (702) 848-2256
Updated
Certification Date
Mar 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.