Active NPI
Henrietta Oby Okpala, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400707
- Practice address
- 3005 Church Ave Ste E
Brooklyn, NY 11226-4209 - Phone
- (347) 627-6100
- Fax
- (718) 228-9641
- NPI assigned
- Aug 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400707 | NY | Primary |
Addresses
Primary practice location
3005 Church Ave Ste E
Brooklyn, NY 11226-4209
Mailing address
10536 Avenue K
Brooklyn, NY 11236-3018
Phone (718) 763-9323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05143811 | Medicaid | NY |
Other names 1
- Mrs. Henrietta Oby Okpala
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HOKPALA@BRIDGETOCARENY.COM | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3005 Church Ave
Brooklyn, NY 11226-4209
Phone (347) 627-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400707 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge to Care Nurse Practitioner in Psychiatry PC | Current | Accepting new patients | |
| Care for the Homeless | Current | Accepting new patients | |
| Queens Psychiatric & Medical Care P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Care for the Homeless | Current | Accepting new patients | |
| Care for the Homeless | Current | Accepting new patients |
Locations
100 Horizon Center Blvd
Ste 100
Robbinsville, NJ 08691
Phone (267) 563-8396
3005 Church Ave
Brooklyn, NY 11226
Phone (347) 627-6100
3005 Church Ave
Ste E
Brooklyn, NY 11226
Phone (347) 627-6100
340 Trinity St
Malverne, NY 11565
Phone (347) 627-6100
30 E 33rd St
Fl 5
New York, NY 10016
Phone (212) 366-4459
9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- henrietta.okpala@cfth.eclinicaldirectplus.com
- hokpala@bridgetocareny.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1649884537
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1013154657
-
- Psychiatry Physician
- Rego Park, NY
- NPI 1497119846
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1295071447
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1952647430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1164414512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10536 AVENUE K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363018",
"telephone_number": "718-763-9323",
"fax_number": "718-763-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 CHURCH AVE STE E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264209",
"telephone_number": "347-627-6100",
"fax_number": "718-228-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKPALA",
"first_name": "HENRIETTA",
"middle_name": "OBY",
"name_prefix": "Mrs.",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-20",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05143811",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HOKPALA@BRIDGETOCARENY.COM",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HOKPALA@BRIDGETOCARENY.COM",
"address_1": "3005 Church Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112264209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HENRIETTA",
"last_name": "OKPALA",
"middle_name": "OBY",
"prefix": "MRS.",
"credential": "NPP",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 16, 2020; 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.