Individual provider Active NPI

Lookman Akintunde, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1114242567
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404319-01 Issued in NY
Practice address
1117 Adee Ave # 2
Bronx, NY 10469-5117
Phone
(917) 528-9382
NPI assigned
Mar 29, 2010
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404319-01 NY Primary

Addresses

Primary practice location

1117 Adee Ave # 2
Bronx, NY 10469-5117

Mailing address

1117 Adee Ave # 2
Bronx, NY 10469-5117
Phone (917) 528-9382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413001438 NY Practitioner - Nurse Practitioner 9638544240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F404319-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince Mar 30, 2023 Accepting new patients

Locations

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1114242567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ADEE AVE # 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695117",
            "telephone_number": "917-528-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ADEE AVE # 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695117",
            "telephone_number": "917-528-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINTUNDE",
        "first_name": "LOOKMAN",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-08-15",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404319-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.