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CANAAN PSYCHIATRIC AND ADDICTION SERVICES LLC
NPI 1063175818
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since October 19, 2021
4377 BRONX BLVD, BRONX, NY 10466(347) 912-7566(646) 490-8780 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canaan Psychiatric And Addiction Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANAAN PSYCHIATRIC AND ADDICTION SERVICES LLC (NPI 1063175818) is a healthcare organization registered as a psychiatric/mental health in Bronx, New York and active in the NPI registry since October 2021. The organization lists Kevin Obi, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063175818
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCANAAN PSYCHIATRIC AND ADDICTION SERVICES LLC
Location Address4377 BRONX BLVDBronx, NY 10466-1397
Mailing Address1131 Elker RdUnion, NJ 07083-5006 · (347) 912-7566 · Fax (646) 490-8780
Phone(347) 912-7566
Fax(646) 490-8780
Organization SubpartNo
Authorized OfficialKevin ObiAuthorized Official · (973) 342-5593
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1063175818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4377 BRONX BLVD, Bronx, NY 10466
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Other Identifiers 1

Medicaid5427909NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN GRAHAM RN
Registered Nurse
4377 BRONX BLVD
BRONX, NY 10466
Bronx County (718) 325-0700
LINKS TO CARE LLC
Case Management
4377 BRONX BLVD
BRONX, NY 10466
Bronx County (917) 397-6917
DR. JOSEPH C VETERE DC
Chiropractor
4377 BRONX BLVD, 303
BRONX, NY 10466
Bronx County (718) 708-6067
DR. KUMARIE SESNARINE NANDI M.D.
Family Medicine
4377 BRONX BLVD
BRONX, NY 10466
Bronx County (718) 325-0700
MRS. TOLUWALOPE EFOSA ALABI LPN
Licensed Practical Nurse
4377 BRONX BLVD, SUITE 202
BRONX, NY 10466
Bronx County (201) 481-4976
MS. YARNIQUE EDWARDS LPN
Licensed Practical Nurse
4377 BRONX BLVD
BRONX, NY 10466
Bronx County (718) 519-7672
SUN RIVER HEALTH INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4377 BRONX BLVD
BRONX, NY 10466
Bronx County (718) 325-0700
INA YOUN
Nurse Practitioner (Family)
4377 BRONX BLVD, #304
BRONX, NY 10466
Bronx County (718) 325-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canaan Psychiatric And Addiction Services LLC's NPI number?

The NPI number for Canaan Psychiatric And Addiction Services LLC is 1063175818. It was assigned to this organization in the NPPES registry on October 19, 2021.

Where is Canaan Psychiatric And Addiction Services LLC located?

Canaan Psychiatric And Addiction Services LLC is located at 4377 Bronx Blvd, Bronx, NY 10466. The listed phone number is (347) 912-7566.

What is Canaan Psychiatric And Addiction Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Canaan Psychiatric And Addiction Services LLC was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.