- Practice location
- 4377 Bronx Blvd, Bronx, NY 10466-1397
- Phone
- 347-912-7566
- Fax
- 646-490-8780
- Last updated
- October 19, 2021
Canaan Psychiatric And Addiction Services LLC is a healthcare organization based in Bronx, NY. Canaan Psychiatric And Addiction Services LLC practices in Bronx, NY. The NPI Number for Canaan Psychiatric And Addiction Services LLC is 1063175818. The current practice location address for Canaan Psychiatric And Addiction Services LLC is 4377 Bronx Blvd, Bronx, NY 10466-1397 and can be reached out via phone at 347-912-7566 and via fax at 646-490-8780.
Provider Profile Details
- NPI Number
- 1063175818
- Provider Name
- Canaan Psychiatric And Addiction Services LLC
- Provider Entity Type
- Organization
- Address
- 4377 Bronx Blvd, Bronx, NY 10466-1397
- Phone Number
- 347-912-7566
- Fax Number
- 646-490-8780
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Mr. Kevin Obi, PSYCHIATRIC NP · Authorized Official · 973-342-5593
- Provider Enumeration Date
- October 19, 2021
- Last Update Date
- October 19, 2021
- Certification Date
- October 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4377 Bronx Blvd
Bronx, NY 10466-1397 - City
- Bronx
- State
- New York
- Zip
- 10466-1397
- Phone Number
- 347-912-7566
- Fax Number
- 646-490-8780
Provider Business Mailing Address Details
- Address
- 1131 Elker RD
Union, NJ 07083-5006 - City
- Union
- State
- NJ
- Zip
- 07083-5006
- Phone Number
- 347-912-7566
- Fax Number
- 646-490-8780
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Eunice D DunuNurse Practitioner, Psych/Mental Health · NPI 1164287264
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Frequently Asked Questions
What is the NPI number of Canaan Psychiatric And Addiction Services LLC?
The NPI number of Canaan Psychiatric And Addiction Services LLC is 1063175818. It was assigned on October 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Canaan Psychiatric And Addiction Services LLC?
Canaan Psychiatric And Addiction Services LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Canaan Psychiatric And Addiction Services LLC practice?
The practice location is 4377 Bronx Blvd, Bronx, NY 10466-1397. The office can be reached at 347-912-7566 (phone) or 646-490-8780 (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 1063175818 directly on the NPPES registry website.