Individual provider Active NPI

Kelechi Ogbuji

  • Psychiatry Physician
  • Port Saint Joe, FL
National Provider Identifier
1720336159
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME133739 Issued in FL
Practice address
209 7TH St
Port Saint Joe, FL 32456-1785
Phone
(850) 247-0835
Fax
(850) 818-8100
NPI assigned
Aug 15, 2012
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 281896 NY
Psychiatry Physician 2084P0800X ME133739 FL Primary

Addresses

Primary practice location

209 7TH St
Port Saint Joe, FL 32456-1785

Mailing address

8208 Annabellas LN
Panama City Beach, FL 32407-6817
Phone (401) 808-1646

Other practice location 1

5700 Star Ln
Panama City, FL 32404-2050
Phone (850) 215-5298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170914003398 NY Practitioner - Psychiatry 0941590178 Reassigns benefits to 2 organizations
I20171219003181 FL Practitioner - Psychiatry 0941590178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 7TH St
Port Saint Joe, FL 32456-1785
Phone (850) 247-0835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133739FLMDPsychiatry Physician
281896NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Wellness LLC Psychiatry CurrentSince Nov 22, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Sep 16, 2019 Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 1, 2017 Accepting new patients
St Josephs Hospital Health Center CurrentSince Dec 24, 2019 Accepting new patients
Hakuna Matata Psychiatry Services PLLC Psychiatry CurrentSince Oct 16, 2025 Accepting new patients
St Joseph's Hospital Health Center Psychiatry CurrentSince Dec 24, 2019 Accepting new patients
Windmoor Healthcare Inc Psychiatry CurrentSince Jan 27, 2019 Accepting new patients
Nys Office of Mental Health Past Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

209 7th St
Port Saint Joe, FL 32456
Phone (850) 247-0835

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Interoperability endpoints

  • Direct secure messaging: kogbuji69026@direct.garnethealth.org

Organizations & group practices 8

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1720336159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 ANNABELLAS LN",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324076817",
            "telephone_number": "401-808-1646",
            "fax_number": "850-818-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 7TH ST",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561785",
            "telephone_number": "850-247-0835",
            "fax_number": "850-818-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Star Ln",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324042050",
            "country_code": "US",
            "telephone_number": "850-215-5298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBUJI",
        "first_name": "KELECHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "281896",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME133739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Joe, FL

Sources for this page

Verify at the official NPI Registry.