Active NPI
Chinonye O Edeh, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1124333570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403228-01
- Practice address
- 760 Broadway
Brooklyn, NY 11206-5317 - Phone
- (718) 963-8000
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 614592 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403228-01 | NY | Primary |
Addresses
Primary practice location
760 Broadway
Brooklyn, NY 11206-5317
Mailing address
6 Almond St
Gloversville, NY 12078-4103
Phone (718) 790-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11595 219TH St
Cambria Heights, NY 11411-1140
3 Corporate Dr
Suite 201
Halfmoon, NY 12065-8635
Hospital & facility affiliations
- St Marys Healthcare
- Kings County Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 614592 | NY | MD | Registered Nurse |
| F403228-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Behavioral Health Ipa PLLC | Current | Accepting new patients |
Locations
10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244
Interoperability endpoints
- echinonye1704459@nychhc.direct-ci.com
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Albany, NY
- NPI 1447276720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1124333570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ALMOND ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120784103",
"telephone_number": "718-790-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065317",
"telephone_number": "718-963-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEH",
"first_name": "CHINONYE",
"middle_name": "O",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "614592",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403228-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.