NPIMap

Organization Active NPI

Ronald Otwori NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1053150219
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RONALD OTWORI NP IN PSYCHIATRY PLLC
Doing business as
The Summit
Practice address
258 Ushers Rd Ste 203
Clifton Park, NY 12065-1428
Phone
(518) 577-3640
Fax
(518) 776-1050
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Ronald Otwori, MS, NPPNPI 1366859753
Title
Owner
Phone
(518) 577-3640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

258 Ushers Rd Ste 203
Clifton Park, NY 12065-1428

Mailing address

11 Landmark St
Latham, NY 12110-2005
Phone (518) 577-3640

Other names 1

  • The Summit Doing business as

National Provider Directory

National Provider Directory

Locations

258 Ushers Rd
Ste 203
Clifton Park, NY 12065
Phone (518) 383-3356

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1053150219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LANDMARK ST",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102005",
            "telephone_number": "518-577-3640",
            "fax_number": "518-776-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 USHERS RD STE 203",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651428",
            "telephone_number": "518-577-3640",
            "fax_number": "518-776-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD OTWORI NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "OTWORI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-577-3640",
        "authorized_official_credential": "MS, NPP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.