Mater Dei Behavioral Consult LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MATER DEI BEHAVIORAL CONSULT LLC

Practice address

516 Bergen St
Newark, NJ 07108-1639

Phone

(201) 633-5773

Fax

(201) 633-8287

NPI assigned

Feb 28, 2026

Organization subpart

No

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

Authorized official

Name

Louismarie Nnanabu, APNNPI 1447710553

Title

Owner

Phone

(201) 633-5773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louismarie Bernadine Nnanabu Sr.

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1447710553
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1772236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1285589846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081639",
            "telephone_number": "201-633-5773",
            "fax_number": "201-633-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081639",
            "telephone_number": "201-633-5773",
            "fax_number": "201-633-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATER DEI BEHAVIORAL CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-28",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "NNANABU",
        "authorized_official_first_name": "LOUISMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-633-5773",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Masse
• Aditi Kalpesh Master, MD
• Aisha Masud
• Daniel Michael Matassa, M.D.
• Miguel Mateo
• Thomas W Materna, M.D.
• Jeevan M Mathew, DPT
• Manju Joseph Mathew, RPH
• Maria Mathew, MD
• Saino Mathew, APN

• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.