Lookman Akintunde, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI 1114242567 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1114242567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F404319-01 (NY)
- Practice address
- 1117 Adee Ave # 2
Bronx, NY 10469-5117 - Phone
- (917) 528-9382
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230413001438 | NY | Practitioner - Nurse Practitioner | 9638544240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F404319-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Community Living , Inc. | Current |
Accepting new patients |
Locations
484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100
2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700
125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404319-01 | NY | Yes |
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
Other providers in Bronx, NY
- Adesina Akintide
- Yemisi Akintola-Okunoye
- Omotola Adetoun Akintola
- Folasade Akintunde
- Kristie Abimbola Akintunde
- Olukemi Akinyemi
- Noel Osereimen Akioyamen
- Joana Mary Akitcher
- Matthew Jiro Akiyama
- Sudha Lakshmi Akkapeddi
All providers in Bronx, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.