Grace Behavioral Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE BEHAVIORAL HEALTH SERVICES

Practice address

1140 Burnt Tavern Rd Ste 1a
Brick, NJ 08724-1496

Phone

(908) 417-0632

NPI assigned

Sep 24, 2020

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omezie Molokwu, APNNPI 1093322935

Title

President

Phone

(908) 417-0632

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omezie A Molokwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakehurst, NJ
  • NPI 1093322935
  Medicare reassignment Care Compare group NPD Authorized official
• Kamsiyochukwu Obu

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
  • NPI 1104621416
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1437766375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087330046",
            "telephone_number": "908-417-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD STE 1A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "908-417-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MOLOKWU",
        "authorized_official_first_name": "OMEZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-417-0632",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elise Good, PA-C
• Neethu Gopisetti, M.D.
• Jay B Gordon, PHD
• Glenn Joseph Gormley, MD PHD
• Courtney Gough, PA-C
• Grace Reilly Geriatric House Calls LLC
• Ashley Gracia, LCSW
• April Lorraine Graham
• Christian Grant, MD
• Patricia Grassi, MS, CCC-A; FAAA

• Psychiatric/Mental Health Nurse Practitioner in Brick, NJ
• Providers in Brick, 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 Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.