Individual provider Active NPI

Stephanie Owusu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1710536594
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403089 Issued in NY
Practice address
238 Wilson Ave
Brooklyn, NY 11237-8019
Phone
(347) 586-9757
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 Registered Nurse 163WP0808X 707649 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403089 NY Primary

Addresses

Primary practice location

238 Wilson Ave
Brooklyn, NY 11237-8019

Mailing address

238 Wilson Ave
Brooklyn, NY 11237-8019

Other practice location 1

220 5th Ave Rm 300
New York, NY 10001-7708
Phone (646) 832-2238

Other practice location 2

451 Clarkson Ave
Brooklyn, NY 11203-2097
Phone (718) 245-2221 ext. 2221

Other practice location 3

285 Livingston St
Brooklyn, NY 11217-1006
Phone (718) 935-9201

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
707649NYMDPsychiatric/Mental Health Registered Nurse
403089NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1710536594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378019",
            "telephone_number": "347-586-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 5th Ave Rm 300",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017708",
            "country_code": "US",
            "telephone_number": "646-832-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032097",
            "country_code": "US",
            "telephone_number": "718-245-2221 x2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 Livingston St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171006",
            "country_code": "US",
            "telephone_number": "718-935-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "707649",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.