Renay Opokuh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01478500 Issued in NJ

Practice address

233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338

Phone

(973) 304-5695

Fax

(732) 561-1150

NPI assigned

Aug 31, 2023

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Matters Psychiatry LLCGroup PAC ID 5294276390, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Matters Psychiatry, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Basking Ridge, NJ
  • NPI 1245922129
  Medicare reassignment Care Compare group NPD
• Jersey Behavioral Care LLC

  dba NJP counseling center

  • Mental Health Counselor
  • Somerset, NJ
  • NPI 1043853328
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1487439972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD STE 100",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "860-796-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD STE 100",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "973-304-5695",
            "fax_number": "732-561-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKUH",
        "first_name": "RENAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01478500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon O'Leary
• Brianna O'Mara, LCSW
• Adeola Gabriel Obayanju, DNP, APN, AGPNP-BC
• Mary Kathleen Obrien
• Pauline Anyango Ochieng, APN FNP-BC
• Carly M Osborne, FNP
• Ahmed Mohamed Osman, DDS
• Our House, Inc
• Our House, Inc
• Our House, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.