Individual provider Active NPI

Henrietta Oby Okpala, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1164414512
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400707 Issued in NY
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

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05143811MedicaidNY

Other names 1

  • Mrs. Henrietta Oby Okpala Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HOKPALA@BRIDGETOCARENY.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200212001630 NY Practitioner - Nurse Practitioner 9436389665 Reassigns benefits to 3 organizations
I20250108002100 NJ Practitioner - Nurse Practitioner 9436389665

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

LicenseStateTypeSpecialty
F400707NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge to Care Nurse Practitioner in Psychiatry PC CurrentSince Aug 1, 2020 Accepting new patients
Care for the Homeless CurrentSince Feb 3, 2025 Accepting new patients
Queens Psychiatric & Medical Care P.C. Psychiatric/Mental Health CurrentSince Jan 22, 2026 Accepting new patients
Care for the Homeless Current Accepting new patients
Care for the Homeless CurrentSince Feb 3, 2025 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

  • Direct secure messaging: henrietta.okpala@cfth.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.