Soulbridge Health Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOULBRIDGE HEALTH INC

Practice address

418 Broadway # 10795
Albany, NY 12207-2922

Phone

(410) 900-8897

Fax

(410) 888-7145

NPI assigned

Jan 26, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Folashade Kanimodo, NURSE PRACTITIONERNPI 1417174889

Title

Director

Phone

(410) 900-8897

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Soulbridge Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soulbridge Health Inc

  • Family Nurse Practitioner
  • Albany, NY
  • NPI 1194673517
  NPD tax ID

Locations

Practitioners 1

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

• Folashade R Kanimodo, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1417174889

  Multi-Specialty, NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1821947516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 10795",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "410-900-8897",
            "fax_number": "410-888-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 10795",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "410-900-8897",
            "fax_number": "410-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULBRIDGE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "KANIMODO",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-900-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Eduardo Sosa-Suarez, M.D.
• Gina Soscia, LCSW
• Sylvia Esther Sossner, M.D.
• Danielle Mercedes Soucy
• Soulbridge Health Inc
• Emily Soule, M.S.ED
• Sound Mind Nurse Practitioner in Psychiatry PLLC
• Winell Jenetta Soures, LCSW-R, SAP, MSW,MA
• Karen Sousis, LPN
• Kristina Sousou, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Albany, NY
• Providers in Albany, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.