Kevin Obi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402364-1 Issued in NY

Practice address

1131 Elker Rd
Union, NJ 07083-5006

Phone

(973) 342-5593

Fax

(718) 708-6683

NPI assigned

May 6, 2018

Last updated

May 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health and Addiction CenterGroup PAC ID 5193164614, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health and Addiction Center,

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1831651876
  Medicare reassignment Care Compare group NPD
• Kevin Obi NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1639823412
  Medicare reassignment NPD Authorized official
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Canaan Psychiatric and Addiction Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1063175818
  NPD Authorized official
• Canaan Medical LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1023644218
  Authorized official Same address or phone

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1679062640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 ELKER RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835006",
            "telephone_number": "973-342-5593",
            "fax_number": "888-654-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 ELKER RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835006",
            "telephone_number": "973-342-5593",
            "fax_number": "718-708-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402364-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aizeyosabo F Obamedo, OTR/L
• Manfred Kanu Obi, MD
• Raimundo L Obregon, M.D.
• Oluwatomiwo Odefemi
• Oertel Orthopedics Inc.
• Bertha Ofori Brown

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, 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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.