GREAT SHEPHERD BEHAVORIAL HEALTH CENTER
NPI 1477229789
Nurse Practitioner - Psychiatric/Mental Health in Bayonne, NJ
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
Specialties & Licenses
Secondary Practice Location 1
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)
Great Shepherd Behavorial Health Center 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 Great Shepherd Behavorial Health Center, 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 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.
Is Great Shepherd Behavorial Health Center enrolled in Medicare?
Yes. Great Shepherd Behavorial Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Shepherd Behavorial Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Great Shepherd Behavorial Health Center. 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 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.
# Great Shepherd Behavorial Health Center · NPI 1477229789
Psychiatric/Mental Health organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1477229789 (Entity type: Organization)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jude Emelumba, OWNER OF ENTITY
## Practice location
- **Address:** 354 AVENUE C, Bayonne, NJ 07002-1412
- **Phone:** (551) 247-8105
## 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:** March 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1477229789) · Data from the CMS NPPES public registry.