SAFE HAVEN BEHAVIORAL HEALTH
NPI 1396614475
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ

Active since November 05, 2025
983 TOWNLEY AVE, UNION, NJ 07083(973) 289-0420 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2025, Nov 5, 2025 (2 updates tracked since 2025).

About Safe Haven Behavioral Health NPPES

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

SAFE HAVEN BEHAVIORAL HEALTH (NPI 1396614475) is a healthcare organization registered as a psychiatric/mental health in Union, New Jersey and active in the NPI registry since November 2025. The organization lists Chinomso Kevin Nwankwo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396614475
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAFE HAVEN BEHAVIORAL HEALTH
Location Address983 TOWNLEY AVEUnion, NJ 07083-7562
Mailing Address983 Townley AveUnion, NJ 07083-7562 · (973) 834-0093 · Fax (973) 834-6522
Organization SubpartNo
Authorized OfficialChinomso Kevin NwankwoCeo · (973) 834-0093
Enumeration DateNovember 5, 2025
Last NPPES UpdateDecember 13, 20252 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
✔ NPI 1396614475 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
983 TOWNLEY AVE, Union, NJ 07083

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safe Haven Behavioral Health 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 Safe Haven Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942007422
655 E JERSEY ST
Elizabeth, NJ 07206
(973) 289-0420
✔ PECOS✔ Accepts Medicare3.2 mi

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 Safe Haven Behavioral Health's NPI number?

The NPI number for Safe Haven Behavioral Health is 1396614475. It was assigned to this organization in the NPPES registry on November 5, 2025.

Where is Safe Haven Behavioral Health located?

Safe Haven Behavioral Health is located at 983 Townley Ave, Union, NJ 07083. The listed phone number is (973) 289-0420.

What is Safe Haven Behavioral Health's specialty?

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

Is Safe Haven Behavioral Health enrolled in Medicare?

Yes. Safe Haven Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Safe Haven Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Safe Haven Behavioral Health. 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 Safe Haven Behavioral Health was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.