Individual provider Active NPI

Chikodili Faith Obi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1285341230
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP026404 Issued in PA
Practice address
601 S Henderson Rd Ste 150
King of Prussia, PA 19406-4234
Phone
(267) 416-0808
Fax
(380) 203-1333
NPI assigned
Oct 31, 2022
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 SP026404 PA Primary

Addresses

Primary practice location

601 S Henderson Rd Ste 150
King of Prussia, PA 19406-4234

Mailing address

601 S Henderson Rd Ste 150
King of Prussia, PA 19406-4234
Phone (267) 416-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221230000145 PA Practitioner - Nurse Practitioner 2860862208 Reassigns benefits to 4 organizations
I20250206000002 GA Practitioner - Nurse Practitioner 2860862208 Reassigns benefits to 1 organization
I20250219001078 IN Practitioner - Nurse Practitioner 2860862208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstead Psychiatry LLCGroup PAC ID 5496296709, 3 clinicians

Practice addresses (Care Compare)

3455 Peachtree Rd NE
Suite 520
Atlanta, GA 30326-3254
Phone (267) 416-0808

3815 River Crossing Pkwy
Suite 109
Indianapolis, IN 46240-7746
Phone (267) 416-0808

601 S Henderson Rd
Suite 150
King of Prussia, PA 19406-4234
Phone (267) 416-0808

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP026404PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstead Psychiatry LLC Psychiatric/Mental Health CurrentSince Jul 5, 2024 Accepting new patients
Montgomery County MH-Mr Emergency Service CurrentSince Sep 18, 2023 Accepting new patients
Reading Hospital CurrentSince Oct 16, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Reading Hospital CurrentSince Oct 16, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Feb 4, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Feb 4, 2023 Accepting new patients
Reading Hospital Current Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients

Locations

3455 Peachtree Rd NE
#520
Atlanta, GA 30326
Phone (267) 416-0808

3815 River Crossing Pkwy
Ste 109
Indianapolis, IN 46240
Phone (267) 416-0808

2846 Knights Rd
Unit C
Bensalem, PA 19020
Phone (484) 685-4866

601 S Henderson Rd
Ste 150
King of Prussia, PA 19406
Phone (267) 416-0808

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

101 Wellness Way
Reading, PA 19605
Phone (484) 628-8070

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1285341230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HENDERSON RD STE 150",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064234",
            "telephone_number": "267-416-0808",
            "fax_number": "380-203-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S HENDERSON RD STE 150",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064234",
            "telephone_number": "267-416-0808",
            "fax_number": "380-203-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "CHIKODILI",
        "middle_name": "FAITH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.