Active NPI
St Health TX, P.a.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1982476685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ST HEALTH TX, P.A.
- Practice address
- 809 Broadway FL 12
New York, NY 10003-4701 - Phone
- (786) 600-3353
- Fax
- (877) 792-1004
- NPI assigned
- Oct 25, 2023
- Last updated
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edmond Coku
- Title
- Manager
- Phone
- (646) 844-2332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
809 Broadway FL 12
New York, NY 10003-4701
Mailing address
809 Broadway FL 12
New York, NY 10003-4701
Phone (786) 600-3353
National Provider Directory
National Provider DirectoryLocations
809 Broadway
Fl 12
New York, NY 10003
Practitioners & affiliated clinicians
Practitioners 95
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1982476685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BROADWAY FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034701",
"telephone_number": "786-600-3353",
"fax_number": "877-792-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 BROADWAY FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034701",
"telephone_number": "786-600-3353",
"fax_number": "877-792-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST HEALTH TX, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "COKU",
"authorized_official_first_name": "EDMOND",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "646-844-2332"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.