Individual provider Active NPI

Patrick Akobeh Tigenoah, PSYCHIATRIC NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1306187059
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401573 Issued in NY
Practice address
6 Gramatan Ave Ste 606
Mount Vernon, NY 10550-3208
Phone
(212) 961-7299
Fax
(844) 636-5521
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 401573 NY Primary

Addresses

Primary practice location

6 Gramatan Ave Ste 606
Mount Vernon, NY 10550-3208

Mailing address

4558 Richardson Ave Ste 1
Bronx, NY 10470-1547
Phone (212) 961-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20131009001184 NY Practitioner - Nurse Practitioner 0446484380 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY; Yonkers, NY
I20240404000031 CT Practitioner - Nurse Practitioner 0446484380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-Star Behavioral Health IncGroup PAC ID 6002203437, 2 clinicians

Practice addresses (Care Compare)

500 Post Rd E
FL 2
Westport, CT 06880-4431
Phone (212) 961-7299

6 Gramatan Ave
Suite 606
Mount Vernon, NY 10550-3208
Phone (212) 961-7299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
401573NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester, Inc CurrentSince Jul 15, 2013 Accepting new patients
Tri-Star Behavioral Health Inc Psychiatric/Mental Health CurrentSince Jul 17, 2018 Accepting new patients
Sun River Health Inc. CurrentSince Mar 3, 2019 Accepting new patients
Tigenoah NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 29, 2025 Accepting new patients
Sun River Health Inc Current Accepting new patients
Jose L. Lantin, MD, PC Past Accepting new patients

Locations

500 Post Rd E
Fl 2
Westport, CT 06880
Phone (203) 516-0346

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

10504 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 725-5000

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

6 Gramatan Ave
Ste 606
Mount Vernon, NY 10550
Phone (201) 580-6642

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1306187059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 RICHARDSON AVE STE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701547",
            "telephone_number": "212-961-7299",
            "fax_number": "844-636-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 606",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "212-961-7299",
            "fax_number": "844-636-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGENOAH",
        "first_name": "PATRICK",
        "middle_name": "AKOBEH",
        "name_prefix": "Mr.",
        "credential": "PSYCHIATRIC NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.