Active NPI
Access Psychiatric and Behavioral Services.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Union, NJ
National Provider Identifier
1992941561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 0400263786
- 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, MD
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090807000233 | NJ | Part B Supplier - Clinic/Group Practice | 5496808594 |
Receives reassigned benefits from 1 practitioner Practice locations: Union, NJ |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0400263786 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.