Raymond C Nwaneri, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP013851 Issued in PA

Practice address

3301 Scotts Lane
Haven Behavioral Hospital
Philadelphia, PA 19129

Phone

(856) 304-2601

NPI assigned

Sep 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haven Behavioral Services of Philadelphia, LLC 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

83.35

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haven Behavioral Services of Philadelphia, LLC

  • Psychiatric Hospital
  • Philadelphia, PA
  • NPI 1912341629

  PA

  Medicare reassignment Care Compare group NPD
• Trust Behavioral Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1831772755

  PA, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Alpha Psychiatric Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stratford, NJ
  • NPI 1538951926

  Gerontology, NJ

  Medicare reassignment NPD Authorized official
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  PA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Wagner Medical PC

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187

  NJ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388

  NJ

  Medicare reassignment
• Academy Podiatry Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Stratford, NJ
  • NPI 1841219003
  NPD (past)
• St Remi LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1689240483
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1144698408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SCOTTS LANE",
            "address_2": "HAVEN BEHAVIORAL HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19129",
            "telephone_number": "856-304-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SCOTTS LANE",
            "address_2": "HAVEN BEHAVIORAL HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19129",
            "telephone_number": "856-304-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANERI",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP 013851",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlea Nwabueze
• Kiana J Nwachukwu
• Emeka Nwadiora, MSW, DSW, JD
• Chidinma C Nwakanma, MD
• Jamaji Chilaka Nwanaji-Enwerem, MD
• Onyekachukwu Nwankwo, MD
• Chioma Nwanonyiri, MD
• Tabitha Nwansi, DPM
• Nneamaka Nwaoduah, MD
• Conrad Chukwudifu Nweke, PMHNP

• All providers in Philadelphia, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.