Organization Active NPI

Access Psychiatric and Behavioral Services.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union, NJ
National Provider Identifier
1992941561
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Manfred Kanu Obi, MDNPI 1467634360
Title
Owner
Phone
(973) 951-0653

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

Practitioners 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000233 NJ Part B Supplier - Clinic/Group Practice 5496808594 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1600 Route 22 E
Ste 205
Union, NJ 07083
Phone (908) 258-7759

1235 Morris Ave
Ste 1
Union, NJ 07083
Phone (908) 258-7759

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0400263786 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1235 Morris Ave Ste 1
Union, NJ 07083-3344

Mailing address

PO Box 5087
Hillside, NJ 07205-5087
Phone (973) 951-0653

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2010.

{
    "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": []
}

Other providers in Union, NJ

Sources for this page

  • 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.