Individual provider Active NPI

Opal Silvera-Beckford, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1992080253
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402790-01 Issued in NY
Practice address
5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100
Phone
(718) 796-5300
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 Nurse Practitioner 363LP0808X F402790-01 NY Primary
Registered Nurse 163W00000X 485214-1 NY

Addresses

Primary practice location

5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100

Mailing address

4 Leather Stocking LN
White Plains, NY 10603-2822
Phone (917) 696-3253

Other practice location 1

4 Leather Stocking Ln
White Plains, NY 10603-2822
Phone (917) 696-3253

Other practice location 2

500 Linda Ave
Hawthorne, NY 10532-1313
Phone (914) 773-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217000842 NY Practitioner - Nurse Practitioner 5496066193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverdale Mental Health Association IncGroup PAC ID 3476444811, 7 clinicians

Practice addresses (Care Compare)

5676 Riverdale Ave
Suite 202
Bronx, NY 10471-2100
Phone (718) 796-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
485214-1NYMDRegistered Nurse
F402790-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Mental Health Association Inc CurrentSince Sep 8, 2021 Accepting new patients
Riverdale Mental Health Association Inc CurrentSince Sep 8, 2021 Accepting new patients
Committed Home Healthcare LLC CurrentSince May 23, 2015 Accepting new patients

Locations

5676 Riverdale Ave
Ste 202
Bronx, NY 10471
Phone 7187965300104

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1992080253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LEATHER STOCKING LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032822",
            "telephone_number": "917-696-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVE STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712100",
            "telephone_number": "718-796-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Leather Stocking Ln",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106032822",
            "country_code": "US",
            "telephone_number": "917-696-3253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Linda Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105321313",
            "country_code": "US",
            "telephone_number": "914-773-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERA-BECKFORD",
        "first_name": "OPAL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402790-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "485214-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.