Individual provider Active NPI

Chris Tochukwu Ohanuka

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Valley Stream, NY
National Provider Identifier
1659182103
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
810590 Issued in NY
Practice address
50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone
(718) 845-2621
NPI assigned
Jan 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0807X 810590 NY Primary

Addresses

Primary practice location

50 W Hawthorne Ave
Valley Stream, NY 11580-6223

Mailing address

14109 243Rd St
Rosedale, NY 11422-2126
Phone (518) 322-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
810590NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1659182103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 243RD ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222126",
            "telephone_number": "518-322-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "718-845-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANUKA",
        "first_name": "CHRIS",
        "middle_name": "TOCHUKWU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "810590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

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