MATER DEI BEHAVIORAL CONSULT LLC
NPI 1285589846
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
About Mater Dei Behavioral Consult Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATER DEI BEHAVIORAL CONSULT LLC (NPI 1285589846) is a healthcare organization registered as a psychiatric/mental health in Newark, New Jersey and active in the NPI registry since February 2026. The organization lists Louismarie Nnanabu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mater Dei Behavioral Consult Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mater Dei Behavioral Consult LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mater Dei Behavioral Consult LLC's NPI number?
The NPI number for Mater Dei Behavioral Consult LLC is 1285589846. It was assigned to this organization in the NPPES registry on February 28, 2026.
Where is Mater Dei Behavioral Consult LLC located?
Mater Dei Behavioral Consult LLC is located at 516 Bergen St, Newark, NJ 07108. The listed phone number is (201) 633-5773.
What is Mater Dei Behavioral Consult LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mater Dei Behavioral Consult LLC enrolled in Medicare?
Yes. Mater Dei Behavioral Consult LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mater Dei Behavioral Consult LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mater Dei Behavioral Consult LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mater Dei Behavioral Consult LLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mater Dei Behavioral Consult Llc · NPI 1285589846
Psychiatric/Mental Health organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since February 28, 2026.
## Identity
- **NPI:** 1285589846 (Entity type: Organization)
- **Enumerated:** February 28, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Louismarie Nnanabu, OWNER
## Practice location
- **Address:** 516 BERGEN ST, Newark, NJ 07108-1639
- **Phone:** (201) 633-5773 · **Fax:** (201) 633-8287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285589846) · Data from the CMS NPPES public registry.