Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canaan Psychiatric and Addiction Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1063175818

Canaan Psychiatric and Addiction Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Bronx, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4377 Bronx Blvd
Bronx, NY 10466-1397
Phone: (347) 912-7566
Fax: (646) 490-8780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1063175818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Obi — Authorized Official · (973) 342-5593
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address1131 Elker Rd, Union, NJ 07083-5006

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