| Organization Name: | OPUS PSYCHOLOGICAL SERVICES, P.C |
| NPI Number: | 1255701421 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAJETAN O UCHENDU (PRESIDENT) |
| Mailing Address: | 4360 Douglaston Pkwy Suite 221 Douglaston |
| State: | NY US |
| Postal Code: | 113631838 |
| Phone Number: | 5164105475 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 017458-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |