Organization Active NPI

Muna Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Drexel Hill, PA
National Provider Identifier
1770303463
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MUNA PSYCHIATRIC SERVICES LLC
Practice address
3715 Garrett Rd # 1050
Drexel Hill, PA 19026-3040
Phone
(215) 714-0285
Fax
(215) 494-2525
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Lilian U OgujioforNPI 1255635058
Title
Owner
Phone
(215) 714-0285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3715 Garrett Rd # 1050
Drexel Hill, PA 19026-3040

Mailing address

48 Melrose Ave
Lansdowne, PA 19050-2528
Phone (215) 714-0285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030002546 PA Part B Supplier - Clinic/Group Practice 0547793408 Receives reassigned benefits from 1 practitioner
Practice locations: Drexel Hill, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1770303463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MELROSE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502528",
            "telephone_number": "215-714-0285",
            "fax_number": "215-494-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 GARRETT RD # 1050",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263040",
            "telephone_number": "215-714-0285",
            "fax_number": "215-494-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNA PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "OGUJIOFOR",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-714-0285"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.