Bridge to Care Nurse Practitioner in Psychiatry PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGE TO CARE NURSE PRACTITIONER IN PSYCHIATRY PC

Practice address

3005 Church Ave
Brooklyn, NY 11226-4209

Phone

(347) 627-6100

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henrietta O OkpalaNPI 1164414512

Title

Pmhnp

Phone

(718) 288-0979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henrietta Oby Okpala, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1164414512
  Medicare reassignment NPD Authorized official
• Alexander Gumbs, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syosset, NY
  • NPI 1750764007
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1649884537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363018",
            "telephone_number": "347-627-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264209",
            "telephone_number": "347-627-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO CARE NURSE PRACTITIONER IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "OKPALA",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "718-288-0979"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Garrick Bridgeforth
• Bridgeman Transportation of Ny Corp (TKB Ambulette Service)
• Tiffany Bridgeman, MD
• Bridges Psychological Services, P.C.

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.