GRACIOUS ANGELS PSYCHIATRIC SERVICES LLC
NPI 1962229203
Nurse Practitioner - Psychiatric/Mental Health in Hillside, NJ
About Gracious Angels Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACIOUS ANGELS PSYCHIATRIC SERVICES LLC (NPI 1962229203) is a healthcare organization registered as a psychiatric/mental health in Hillside, New Jersey and active in the NPI registry since September 2024. The organization lists Stella Nwachukwu, 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)
Gracious Angels Psychiatric Services 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 Gracious Angels Psychiatric Services 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 Gracious Angels Psychiatric Services LLC's NPI number?
The NPI number for Gracious Angels Psychiatric Services LLC is 1962229203. It was assigned to this organization in the NPPES registry on September 25, 2024.
Where is Gracious Angels Psychiatric Services LLC located?
Gracious Angels Psychiatric Services LLC is located at 813 Irvington Ave, Hillside, NJ 07205. The listed phone number is (973) 444-8636.
What is Gracious Angels Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gracious Angels Psychiatric Services LLC enrolled in Medicare?
Yes. Gracious Angels Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gracious Angels Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gracious Angels Psychiatric Services 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 Gracious Angels Psychiatric Services LLC was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gracious Angels Psychiatric Services Llc · NPI 1962229203
Psychiatric/Mental Health organization in Hillside, New Jersey. Organization record, active in the CMS NPPES registry since September 25, 2024.
## Identity
- **NPI:** 1962229203 (Entity type: Organization)
- **Enumerated:** September 25, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Stella Nwachukwu, OWNER
## Practice location
- **Address:** 813 IRVINGTON AVE, Hillside, NJ 07205-3105
- **Phone:** (973) 444-8636
## 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:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962229203) · Data from the CMS NPPES public registry.