GREAT SHEPHERD BEHAVORIAL HEALTH CENTER NPI 1477229789

NPI Information

NPI: 1477229789
Provider Name: GREAT SHEPHERD BEHAVORIAL HEALTH CENTER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
354 AVENUE C
BAYONNE, NJ
ZIP 07002
Phone: (551) 247-8105
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GREAT SHEPHERD BEHAVORIAL HEALTH CENTER is a psychiatric/mental health nurse practitioner in Bayonne, NJ. GREAT SHEPHERD BEHAVORIAL HEALTH CENTER NPI is 1477229789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

354 AVENUE C
BAYONNE, NJ
ZIP 07002-412
Phone: (551) 247-8105

The provider's authorized official is Jude C Emelumba .
The authorized official title is Owner Of Entity and has the following contact phone number (551) 247-8105.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 3/8/2022.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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