MATER DEI BEHAVIORAL CONSULT LLC NPI 1285589846

NPI Information

  • NPI: 1285589846
  • Provider Name: MATER DEI BEHAVIORAL CONSULT LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 516 BERGEN ST
    NEWARK, NJ
    ZIP 07108
  • Phone: (201) 633-5773

Map and Directions

Get Directions

NPI Details

MATER DEI BEHAVIORAL CONSULT LLC is a psychiatric/mental health nurse practitioner in Newark, NJ. MATER DEI BEHAVIORAL CONSULT LLC NPI is 1285589846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

516 BERGEN ST
NEWARK, NJ
ZIP 07108-639
Phone: (201) 633-5773
Fax: (201) 633-8287

The provider's authorized official is Louismarie Nnanabu .
The authorized official title is Owner and has the following contact phone number (201) 633-5773.

The enumeration date for this NPI number is 2/28/2026 and was last updated on 2/28/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.