Coral Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CORAL PSYCHIATRY

Practice address

595 5TH Ave
Troy, NY 12182-2501

Phone

(518) 414-5421

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Okwerekwu, MDNPI 1336502616

Title

Owner

Phone

(518) 414-5421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Okwerekwu, MD, MS

  • Psychiatry Physician
  • Troy, NY
  • NPI 1336502616
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1134991144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822501",
            "telephone_number": "518-414-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822501",
            "telephone_number": "518-414-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "OKWEREKWU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-414-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Michael Cooney, D.D.S., M.S.
• Catherine A Coonradt, MSSPED
• Emily Cooper
• Nina Cooper, PT, DPT
• Shakara Cooper
• Angelina Corbett
• Vincent Augustine Corcoran, MD
• Altanah Miriam Corelli, RPN, RD, CDE
• Edward F Corless, LCSW
• Katherine T Corp

• Psychiatry Physician in Troy, NY
• Providers in Troy, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.