Independent Contractor

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH002478 Issued in PA

Legal business name

INDEPENDENT CONTRACTOR

Practice address

9406 Krewstown Rd
Philadelphia, PA 19115-3713

Phone

(215) 464-2939

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Nwabunwanne Anthony Okafor, MS, MBANPI 1225429947

Title

BSC

Phone

(215) 715-7999

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nwabunwanne Okafor

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1225429947
  NPD (past) Authorized official

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1619367489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153713",
            "telephone_number": "215-464-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153713",
            "telephone_number": "215-464-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CONTRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "NWABUNWANNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "BSC",
        "authorized_official_telephone_number": "215-715-7999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "BH002478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independent Apothecary Incorporated
• Independent Home Care Inc
• Independent Pharmacies Incorporated
• Independent Physicians Medical Center, LLC
• Independent Physicians Medical Center, LLC
• Independent Quality Services Inc

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.