Stella O Okobi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402649 Issued in NY

Practice address

1040 Winthrop St
Brooklyn, NY 11212-1483

Phone

(646) 270-6918

Fax

(929) 290-0328

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sus Mental Health Programs, Inc.Group PAC ID 7810162468, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sus Mental Health Programs, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195
  Medicare reassignment Care Compare group NPD
• Lending Hands of Hope , Inc

  • In Home Supportive Care Agency
  • Hackensack, NJ
  • NPI 1285345561
  NPD Authorized official
• Community Services and Housing Inc.

  • Public Health or Welfare Agency
  • Bronx, NY
  • NPI 1972223642
  NPD

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1376796052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364020",
            "telephone_number": "646-270-6918",
            "fax_number": "929-290-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121483",
            "telephone_number": "646-270-6918",
            "fax_number": "929-290-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10116 Avenue J",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112364020",
            "country_code": "US",
            "telephone_number": "646-270-6918",
            "fax_number": "929-290-0328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Saratoga Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112124518",
            "country_code": "US",
            "telephone_number": "646-270-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOBI",
        "first_name": "STELLA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402649",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "594691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glory Okezie
• Jean Edith Okie, PH.D.
• Eghwubare Godwin Okifo, RN
• Raisa Oklander, DO
• Vita Oklander, PA-C
• Efe A Okoh
• Ugochukwu Freeman Okoko
• Fidelis Chijioke Okoli, M.D
• Robert Uche Okolie, DNP, FNP
• Chika Okolo

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.

Verify at the official NPI Registry.