Light Space Mental Health Counseling and Nurse Practitioner in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC

Practice address

418 Broadway Ste 4279
Albany, NY 12207-2922

Phone

(937) 756-6697

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Joey Bukai, PMHNP-BC, LMHC, RNNPI 1699309302

Title

Owner

Phone

(937) 756-6697

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joey Bukai, PMHNP-BC, LMHC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1699309302
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1467149856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE 4279",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "937-756-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE 4279",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "937-756-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 5th Ave Ste 1103",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013604",
            "country_code": "US",
            "telephone_number": "937-756-6697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BUKAI",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-756-6697",
        "authorized_official_credential": "PMHNP-BC, LMHC, RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PMHNP STATE LICENSE",
            "identifier": "407127",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699309302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Librizzi, DPT
• Melinda Ann Liddle, AGPCNP
• Megan Marie Lieb, DO
• Jennifer Lieberman
• Ruth Leonore Lieberman, M.D.
• Jonathan James Light
• Clyanna E Lightbourn
• Andrea Ramirez Lightle, DO
• Dennie Lightle Jr.
• Shannon Leigh Liguori, MS.ED CAS

• Psychiatric/Mental Health Nurse Practitioner in Albany, NY
• Providers in Albany, 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 Aug 15, 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.