Organization Active NPI

Luchiee LLC

  • Adult Mental Health Clinic/Center
  • Springfield, NJ
National Provider Identifier
1124694781
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LUCHIEE LLC
Practice address
454 Morris Ave
Springfield, NJ 07081-1158
Phone
(908) 922-1727
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Oluchi Chilaka, DNP, APNNPI 1336651520
Title
NP
Phone
(908) 922-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

454 Morris Ave
Springfield, NJ 07081-1158

Mailing address

5 Hemlock Ter
Springfield, NJ 07081-2405
Phone (908) 922-1727

Other identifiers 1

IdentifierTypeStateIssuer
1336651520MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Springfield Health Information Exchange (HIE)
SOAP URL Springfield Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011001770 NJ Part B Supplier - Clinic/Group Practice 4486052172 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1124694781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEMLOCK TER",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812405",
            "telephone_number": "908-922-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811158",
            "telephone_number": "908-922-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCHIEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "CHILAKA",
        "authorized_official_first_name": "OLUCHI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "908-922-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336651520",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "endpointDescription": "Psych Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Springfield",
            "address_1": "454 Morris Ave",
            "city": "Springfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070811158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "endpointDescription": "Pysch Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Springfield",
            "address_1": "454 Morris Ave",
            "city": "Springfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070811158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.