Access Psychiatric and Behavioral Services.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0400263786 Issued in NJ

Legal business name

ACCESS PSYCHIATRIC AND BEHAVIORAL SERVICES.

Practice address

1235 Morris Ave Ste 1
Union, NJ 07083-3344

Phone

(908) 258-7759

Fax

(908) 469-2135

NPI assigned

Jan 1, 2009

Last updated

Nov 10, 2010By 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

Dr. Manfred Kanu Obi, MDNPI 1467634360

Title

Owner

Phone

(973) 951-0653

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, and the practitioner matching its NPPES authorized official.

• Manfred Kanu Obi, MD

  • Psychiatry Physician
  • Union, NJ
  • NPI 1467634360
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1992941561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072055087",
            "telephone_number": "973-951-0653",
            "fax_number": "908-469-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVE STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "908-258-7759",
            "fax_number": "908-469-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PSYCHIATRIC AND BEHAVIORAL SERVICES.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_middle_name": "KANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-951-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "0400263786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chioma Chiatuogu Achonye, APN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Union, NJ
• Providers in Union, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.