Organization Active NPI

Veracity Psychiatry Solutions Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1992418305
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VERACITY PSYCHIATRY SOLUTIONS INC
Practice address
1550 N D St Ste D
San Bernardino, CA 92405-4720
Phone
(909) 688-6151
Fax
(951) 399-2038
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Joecoline NwachukwuNPI 1386377612
Title
Ceo
Phone
(909) 688-6151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1550 N D St Ste D
San Bernardino, CA 92405-4720

Mailing address

1550 N D St Ste D
San Bernardino, CA 92405-4720
Phone (909) 688-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230314002293 CA Part B Supplier - Clinic/Group Practice 6901270917 Receives reassigned benefits from 5 practitioners
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

1396 N Waterman Ave
#D
San Bernardino, CA 92404

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1992418305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N D ST STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054720",
            "telephone_number": "909-688-6151",
            "fax_number": "951-399-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N D ST STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054720",
            "telephone_number": "909-688-6151",
            "fax_number": "951-399-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERACITY PSYCHIATRY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "JOECOLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-688-6151"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.