# KEVIN OBI NP IN PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639823412
- **Authorized official:** MR. KEVIN OBI MSN (NURSE PRACTITIONER IN PSYCHIATRY)
- **Authorized official phone:** (973) 342-5593

## Contact information

- **Practice address:** 682 E 241ST ST, BRONX, NY 10470-1030
- **Practice address phone:** (973) 342-5593
- **Mailing address:** 1131 ELKER RD, UNION, NJ 07083-5006
- **Mailing address phone:** (973) 342-5593
- **Mailing address fax:** (646) 490-8780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/29/2024