Kembod Behavioral Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEMBOD BEHAVIORAL CLINIC

Practice address

2238 N Park Ave
Philadelphia, PA 19132-4584

Phone

(737) 268-9101

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oluwakemisola KokuNPI 1619812427

Title

Owner/Authorized Official

Phone

(173) 726-8910

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.

• Oluwakemisola Abiodun Koku

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1619812427
  Authorized official Same address or phone

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1144125675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 N PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 N PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324584",
            "telephone_number": "737-268-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMBOD BEHAVIORAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "KOKU",
        "authorized_official_first_name": "OLUWAKEMISOLA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "173-726-8910"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachana Kelshikar
• Haley Kelso
• Crystal-Nicole Marie Kelson, RN
• Max B Kelz, MD
• Anna Elizabeth Kemble, PSYD
• Ashley Kemmerer, M.S., BCBA
• Heather Kemmerer, PA-C
• Charles Kemmler, M.D., PH.D.
• Asia Kemp
• Eric Kemp

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.