Organization Active NPI

Reverent Health Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1689480642
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REVERENT HEALTH NURSE PRACTITIONER IN PSYCHIATRY PLLC
Practice address
626 N French Rd Ste 5
Amherst, NY 14228-2105
Phone
(716) 232-0887
Fax
(716) 287-8297
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Sandra Blessing Okengwu, PMHNP-BCNPI 1225711047
Title
Psychiatric Nurse Practitioner
Phone
(716) 232-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

626 N French Rd Ste 5
Amherst, NY 14228-2105

Mailing address

626 N French Rd Ste 5
Amherst, NY 14228-2105
Phone (716) 232-0887

National Provider Directory

National Provider Directory

Locations

626 N French Rd
Ste 5
Buffalo, NY 14228
Phone (716) 232-0887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1689480642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N FRENCH RD STE 5",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282105",
            "telephone_number": "716-232-0887",
            "fax_number": "716-287-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N FRENCH RD STE 5",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282105",
            "telephone_number": "716-232-0887",
            "fax_number": "716-287-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENT HEALTH NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "OKENGWU",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "BLESSING",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "716-232-0887",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.