Great Shepherd Behavorial Health Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREAT SHEPHERD BEHAVORIAL HEALTH CENTER

Practice address

354 Avenue C
Bayonne, NJ 07002-1412

Phone

(551) 247-8105

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Jude C Emelumba, DNP, APRN, PMHNP-BCNPI 1396185567

Title

Owner of Entity

Phone

(551) 247-8105

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.

• Jude Chineto Emelumba, APN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Trenton, NJ
  • NPI 1396185567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1477229789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021412",
            "telephone_number": "973-573-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021412",
            "telephone_number": "551-247-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37-39 Bloomfield Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071042536",
            "country_code": "US",
            "telephone_number": "973-573-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT SHEPHERD BEHAVORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "EMELUMBA",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "551-247-8105",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "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": []
}

• Nikita Goradia, DMD
• Jessica Grabher
• Dennis Grau, LPC
• Kelly A. Gray, PT
• Great Hope Medical Group Inc
• Jennifer Grilli, M.S., OTR
• Prachi Grover
• Ana Raquel Grullon, LCSW
• Melissa Grywalski
• GSC Pharmacy Corp

• Psychiatric/Mental Health Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, 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 Mar 8, 2022; 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.