GREAT SHEPHERD BEHAVORIAL HEALTH CENTER
NPI 1477229789
Nurse Practitioner - Psychiatric/Mental Health in Bayonne, NJ

Active since August 17, 2021
354 AVENUE C, BAYONNE, NJ 07002(551) 247-8105 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Oct 5, 2021, Aug 17, 2021 (3 updates tracked since 2021).

About Great Shepherd Behavorial Health Center NPPES

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

GREAT SHEPHERD BEHAVORIAL HEALTH CENTER (NPI 1477229789) is a healthcare organization registered as a psychiatric/mental health in Bayonne, New Jersey and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Newark and lists Jude C Emelumba, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1477229789
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGREAT SHEPHERD BEHAVORIAL HEALTH CENTER
Location Address354 AVENUE CBayonne, NJ 07002-1412
Mailing Address354 Avenue CBayonne, NJ 07002-1412 · (973) 573-1648
Organization SubpartNo
Authorized OfficialJude C EmelumbaOwner Of Entity · (551) 247-8105
Enumeration DateAugust 17, 2021
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1477229789 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
354 AVENUE C, Bayonne, NJ 07002

Secondary Practice Location 1

Location 137-39 Bloomfield AveNewark, NJ 07104-2536 · Phone (973) 573-1648

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 6

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

Social Worker (Clinical)
354 AVENUE C
BAYONNE, NJ 07002
Psychiatry & Neurology (Psychiatry)
354 AVENUE C
BAYONNE, NJ 07002
Clinic/Center (Adult Mental Health)
354 AVENUE C
BAYONNE, NJ 07002
Registered Nurse (Addiction (Substance Use Disorder))
354 AVENUE C, PENTHOUSE SUITE
BAYONNE, NJ 07002
Psychiatry & Neurology (Psychiatry)
354 AVENUE C
BAYONNE, NJ 07002
Counselor (Mental Health)
354 AVENUE C
BAYONNE, NJ 07002

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 Great Shepherd Behavorial Health Center's NPI number?

The NPI number for Great Shepherd Behavorial Health Center is 1477229789. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Great Shepherd Behavorial Health Center located?

Great Shepherd Behavorial Health Center is located at 354 Avenue C, Bayonne, NJ 07002. The listed phone number is (551) 247-8105.

What is Great Shepherd Behavorial Health Center'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 Great Shepherd Behavorial Health Center was last updated on March 8, 2022. 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.