Individual provider Active NPI

Vanessa ABA Addai, CRNP. PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1679221923
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025464 Issued in PA
Practice address
6120-B Woodland Ave; 2ND Floor
Philadelphia, PA 19142-3224
Phone
(157) 272-4721
NPI assigned
Mar 15, 2022
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010809 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025464 PA Primary

Addresses

Primary practice location

6120-B Woodland Ave; 2ND Floor
Philadelphia, PA 19142-3224

Mailing address

4700 Wissahickon Ave BLDG D Ste 119
Philadelphia, PA 19144-4248
Phone (215) 843-9720

Other practice location 1

4700 Wissahickon Ave Bldg D Ste 119
Philadelphia, PA 19144-4248
Phone (215) 843-9720

Other practice location 2

1000 N West St
Wilmington, DE 19801-1050
Phone (215) 694-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20241010003319 PA Practitioner - Nurse Practitioner 4183156565 Reassigns benefits to 2 organizations
I20250714002205 DE Practitioner - Nurse Practitioner 4183156565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0010809DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development, Inc. CurrentSince Sep 26, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Sep 26, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 2, 2025 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients

Locations

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone (215) 843-9720

6120 Woodland Ave
Fl 2
Philadelphia, PA 19142
Phone (215) 727-4721

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1679221923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE BLDG D STE 119",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-843-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120-B WOODLAND AVE; 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423224",
            "telephone_number": "157-272-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Wissahickon Ave Bldg D Ste 119",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191444248",
            "country_code": "US",
            "telephone_number": "215-843-9720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N West St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011050",
            "country_code": "US",
            "telephone_number": "215-694-0438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDAI",
        "first_name": "VANESSA",
        "middle_name": "ABA",
        "credential": "CRNP. PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010809",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.