Glorious Dawn Mental Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GLORIOUS DAWN MENTAL HEALTH SERVICES LLC

Practice address

540 North Ave Ste 3
Union, NJ 07083-7149

Phone

(201) 470-6198

Fax

(201) 630-8916

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Lynda UzonwanneNPI 1851968515

Title

Pmhnp

Phone

(862) 215-8536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Lynda Nneka Uzonwanne

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
  • NPI 1851968515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1366197303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "201-470-6198",
            "fax_number": "201-630-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "201-470-6198",
            "fax_number": "201-630-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS DAWN MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "UZONWANNE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "862-215-8536"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammoima Gichana
• Ronit Gilad, M.D.
• Girl on the Go
• Jay Robert Gladstone, D.D.S.
• Gilbert L Glass, D.M.D.
• GLTR, LLC
• Mrika Gocaj, PA
• Amruta Godbole, DDS
• Amah E Goka, HHA
• Jeffrey Gold, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Union, NJ
• Providers in Union, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.