Daniel Yaw Boadu, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

400820 Issued in NY

Practice address

11 W Prospect Ave
Mount Vernon, NY 10550-2017

Phone

(347) 419-4321

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1003856279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 230TH PL",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134433",
            "telephone_number": "718-276-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "347-419-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADU",
        "first_name": "DANIEL",
        "middle_name": "YAW",
        "name_prefix": "Mr.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Velmarie Blake
• Julie Ann Blake, D.O.
• Lori B Blake
• Sardia Blake, PCT
• Nora A Blonda-Gil, DDS
• Yiadom Kwadwo Boakye-Danquah, PHARMD
• Dana Boddie, LMSW
• Onieka K Bogle, LMSW
• Malena Bonaparte, N.P
• Michael David Boron, MD

• Psychiatric/Mental Health Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.