Rebound Wellness NP in Psychiatry & Family Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REBOUND WELLNESS NP IN PSYCHIATRY & FAMILY HEALTH PLLC

Doing business as

Neighborhood Health

Practice address

747 Madison Ave Ste 102
Albany, NY 12208-3809

Phone

(518) 772-8182

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Chinelle Okeke, NPNPI 1063645596

Title

NP/Owner

Phone

(518) 772-8182

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Neighborhood Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Chinelle Udo Okeke, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1063645596

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1467220228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6153",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083809",
            "telephone_number": "518-772-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND WELLNESS NP IN PSYCHIATRY & FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "CHINELLE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "518-772-8182",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.