Souleymane Soukouna

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

612429 Issued in NY

Practice address

PO Box 6000
Binghamton, NY 13902-6000

Phone

(607) 477-4954

NPI assigned

Aug 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1417834821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 BALCOM RD",
            "city": "CAMPBELL",
            "state": "NY",
            "postal_code": "148219550",
            "telephone_number": "607-483-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139026000",
            "telephone_number": "607-477-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKOUNA",
        "first_name": "SOULEYMANE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "612429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abidemi Somefun
• Govardhan Sonthineni, MD
• Sowbhagya L. Sonthineni, M.D.
• Richard Sosulski, NP
• Alessandra Sotolongo, LMSW
• Clark Trevor Soulia, LMSW
• Southern Tier Associates in Podiatric Medicine & Surgery PLLC
• Southern Tier Independence Center, Inc.
• Southern Tier Medical Care - Ny PC
• Southern Tier Physical Therapy of Binghamton PC

• Psychiatric/Mental Health Registered Nurse in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.