Individual provider Active NPI

Ruth Okonkwo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1497554596
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14575 Issued in CT
Practice address
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone
(718) 584-9000
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 175083 CT
Registered Nurse 163W00000X 724633 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14575 CT Primary

Addresses

Primary practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Mailing address

712 Newfield Ave
Stamford, CT 06905-2907
Phone (917) 607-5695

Other names 1

  • Ruth Alozie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250522000218 CT Practitioner - Nurse Practitioner 7517486657 Reassigns benefits to 2 organizations
I20250929002365 NY Practitioner - Nurse Practitioner 7517486657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Association for Services for the AgedGroup PAC ID 7810886264, 6 clinicians
Wolf Spirit Wellness and Counseling Center LLCGroup PAC ID 0244604114, 4 clinicians

Practice addresses (Care Compare)

1490 Southern Blvd
Bronx, NY 10460-6262
Phone (718) 365-4044

670 Main St S
B2
Woodbury, CT 06798-3738
Phone (203) 263-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175083CTMDRegistered Nurse
724633NYMDRegistered Nurse
14575CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Spirit Wellness and Counseling Center, LLC CurrentSince Sep 30, 2025 Accepting new patients
Jewish Association for Services for the Aged CurrentSince Jul 13, 2025 Accepting new patients
Light -Tunnel Behavioral Health Services Inc Psychiatric/Mental Health CurrentSince Mar 10, 2025 Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients

Locations

157 Church St
Fl 19
New Haven, CT 06510
Phone (475) 319-4067

670 Main St S
#B2
Woodbury, CT 06798
Phone (203) 263-3175

910 E 172nd St
Fl 1
Bronx, NY 10460

247 W 37th St
Fl 9
New York, NY 10018
Phone (212) 273-5200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1497554596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052907",
            "telephone_number": "917-607-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "RUTH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "175083",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "724633",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "ALOZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.