Organization Active NPI

Opus Psychological Services, P.C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Douglaston, NY
National Provider Identifier
1255701421
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
017458-1 Issued in NY
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

Updated by the provider on Oct 1, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.