Active NPI
Opus Psychological Services, P.C
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Douglaston, NY
National Provider Identifier
1255701421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 017458-1
- Legal business name
- OPUS PSYCHOLOGICAL SERVICES, P.C
- Practice address
- 4360 Douglaston Pkwy
Suite 221
Douglaston, NY 11363-1838 - Phone
- (516) 410-5475
- NPI assigned
- Oct 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cajetan O Uchendu, PHD
- Title
- President
- Phone
- (516) 410-5475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 017458-1 | NY | Primary |
Addresses
Primary practice location
4360 Douglaston Pkwy
Suite 221
Douglaston, NY 11363-1838
Mailing address
4360 Douglaston Pkwy
Suite 221
Douglaston, NY 11363-1838
Phone (516) 410-5475
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443657600000",
"number": "1255701421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 DOUGLASTON PKWY",
"address_2": "SUITE 221",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631838",
"telephone_number": "516-410-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 DOUGLASTON PKWY",
"address_2": "SUITE 221",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631838",
"telephone_number": "516-410-5475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPUS PSYCHOLOGICAL SERVICES, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A",
"authorized_official_last_name": "UCHENDU",
"authorized_official_first_name": "CAJETAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-410-5475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NY",
"license": "017458-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglaston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.