Active NPIOrganization

Great Shepherd Behavorial Health Center

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

NPI Number1477229789
Practice location
354 Avenue C, Bayonne, NJ 07002-1412
Fax
—
Last updated
March 8, 2022

Great Shepherd Behavorial Health Center is a healthcare organization based in Bayonne, NJ. Great Shepherd Behavorial Health Center practices in Bayonne, NJ. The NPI Number for Great Shepherd Behavorial Health Center is 1477229789. The current practice location address for Great Shepherd Behavorial Health Center is 354 Avenue C, Bayonne, NJ 07002-1412 and can be reached out via phone at 551-247-8105.

Provider Profile Details

NPI Number
1477229789
Provider Name
Great Shepherd Behavorial Health Center
Provider Entity Type
Organization
Address
354 Avenue C, Bayonne, NJ 07002-1412
Phone Number
551-247-8105
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Jude C Emelumba, DNP, APRN, PMHNP-BC · Owner Of Entity · 551-247-8105
Provider Enumeration Date
August 17, 2021
Last Update Date
March 8, 2022
Certification Date
March 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 Avenue C
Bayonne, NJ 07002-1412
Zip
07002-1412
Phone Number
551-247-8105
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
354 Avenue C
Bayonne, NJ 07002-1412
City
Bayonne
State
NJ
Zip
07002-1412
Phone Number
973-573-1648

License Information

Taxonomy
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 Great Shepherd Behavorial Health Center?

The NPI number of Great Shepherd Behavorial Health Center is 1477229789. It was assigned on August 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Great Shepherd Behavorial Health Center?

Great Shepherd Behavorial Health Center is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Great Shepherd Behavorial Health Center practice?

The practice location is 354 Avenue C, Bayonne, NJ 07002-1412. The office can be reached at 551-247-8105 (phone).

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 1477229789 directly on the NPPES registry website.

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